6333.portal.athenahealth.com Open in urlscan Pro
208.78.141.21  Public Scan

Form analysis
1 forms found in the DOM

POST https://qp-portal-redirect.cf.px.athena.io/portal-integration

<form id="quickpayportallogin" method="post" action="https://qp-portal-redirect.cf.px.athena.io/portal-integration">
  <div class="leftpane-detail">
    <label class="font-arial enter-statement-code" for="statementid">Enter your statement code to get started.</label>
    <input type="text" id="statementid" name="statementid">
    <input type="hidden" name="contextid" value="6333">
    <input type="hidden" name="brandid" value="">
    <input type="hidden" name="fromportal" value="1">
  </div>
  <a class="font-arial" id="statementid-where-is-this" href="#">Where can I find my code?</a>
  <div class="leftpane-detail">
    <p class="font-arial">By clicking <strong>Make a Payment</strong>, you represent that you are authorized to address the patient's billing matters.</p>
  </div>
  <div id="statement-id-error" class="hide singlecolumnalerty alerty alerty-error font-arial"> Statement Code is incorrect. Please try again. </div>
  <div class="leftpane-detail" id="make-a-payment">
    <button type="submit" class="athenahealth-makepayment" id="makepayment" target="_top">Make a Payment</button>
  </div>
</form>

Text Content

Dial 911 in the case of a medical emergency
A link to reset your Patient Portal password has been sent to . Please allow
5-10 minutes for the email to arrive. If you do not receive an email, please
call (972) 292-7158.


WELCOME TO THE GOH MEDICAL PATIENT PORTAL


MAKE A ONE-TIME PAYMENT

Enter your statement code to get started.
Where can I find my code?

By clicking Make a Payment, you represent that you are authorized to address the
patient's billing matters.

Statement Code is incorrect. Please try again.
Make a Payment


SIGN IN TO YOUR PORTAL

Log in with  Athenahealth
Create an Account
Forgot password?

We use athenahealth to help you access your health information for different
doctors' offices with just one email and password.




WELCOME TO THE
GOH MEDICAL PATIENT PORTAL

We are pleased you have chosen to use the Patient Portal to communicate in a
secure and confidential manner with your healthcare team.

Taking just a few minutes to Register will give you access to valuable
information and services provided in a secure and confidential manner. Once
Registered and Logged on you will be able to:

 * Exchange messages with our practice
 * Review and pay billing statements
 * Request appointments
 * Research health topics
 * Review Personal Health Information
 * Complete and update medical forms
 * Update your profile and contact information

For urgent medical matters, please contact us during our regular office hours
at 1-972-292-7158. In case of a medical emergency, call 911.






--------------------------------------------------------------------------------

Note: Patients are solely responsible for maintaining the privacy and security
of all information printed from the Patient Portal.

--------------------------------------------------------------------------------

powered by
Athenahealth
Change to Español
 * Privacy Policy
 * Terms & Conditions
 * Website Privacy
 * Accessibility Statement

  X  

 

 

  close X  

 

 
Saving...


ALERT

close
You are using an outdated browser that is not supported on the Patient Portal.

Please upgrade your browser before signing in.

--------------------------------------------------------------------------------

Ok


TERMS AND CONDITIONS

close


GOH MEDICAL


PATIENT PORTAL TERMS AND CONDITIONS

> These terms and conditions constitute a binding agreement between you and GOH
> Medical ("we," "us," or "our").
> 
> The Patient Portal is an Internet service that allows our patients to:
> communicate with us; access their health records; request or reschedule
> appointments; view and update personal information; request prescriptions;
> receive test results; read patient educational material; view statements; pay
> bills; and access related services and content.
> 
> The Patient Portal is provided on behalf us and our physicians, employees,
> managers, officers, directors, agents, and representatives and powered by
> athenahealth, Inc. (all of the foregoing, collectively, the "Practice
> Entities"). The Practice Entities are intended third-party beneficiaries of
> this agreement and entitled to enforce all terms and conditions of this
> agreement.
> 
> By accessing or using the Patient Portal, you confirm that you agree to these
> terms and conditions. If you don't agree, don't use the Patient Portal. By
> agreeing to these terms and conditions, you acknowledge that you are at least
> 18 years of age, or legally emancipated, and that you are requesting access to
> Patient Portal. You acknowledge that Patient Portal is offered as a courtesy
> to our patients and agree that we may limit or discontinue your use of Patient
> Portal at any time for any reason.


MINIMUM REQUIREMENTS AND SECURITY

 * This website uses encryption software. In order to use Patient Portal, you
   must have:
   * a personal computer equipped with an Internet browser that has 128-bit
     encryption enabled and configured to accept cookies (e.g., Internet
     Explorer 7 or 8, Safari, or Firefox; Internet Explorer 6 may not allow you
     to view some materials, such as test results);
     
     
   * Internet access, a valid email account, software to receive and read email
     messages, and spam filters set to accept email from our domain; and
     
     
   * Adobe Reader installed (to download a copy of Adobe Reader, please go to
     http://www.adobe.com/products/acrobat/readstep2.html).
     
     
 * While we use state-of-the-art security, no system can guard against risks of
   intentional intrusion or inadvertent disclosure of information. When using
   Patient Portal, information may be transmitted over media that are beyond the
   control of the Practice Entities and their contractors and subcontractors and
   that may not be secure. For example, you may receive email, text, or
   telephone communications in connection with your use of Patient Portal, all
   of which are inherently unsecure and subject to disclosure to or access by
   third parties (e.g., if your phone is used by someone else, you do not keep
   your phone or email information up to date on Patient Portal and
   communications are misdirected, or the network or systems of a
   telecommunications provider are hacked). Furthermore, electronic services
   such as those provided by the Practice Entities, their contractors and
   subcontractors, and any telecommunications providers involved in the
   transmission of data are all inherently subject to failure and none of the
   foregoing can guarantee that their services will be provided without error or
   interruption at all times that you may wish to use those services. YOU HEREBY
   EXPRESSLY ASSUME THE RISK OF ANY UNAUTHORIZED DISCLOSURE OR INTENTIONAL
   INTRUSION, OR OF ANY DELAY, FAILURE, INTERRUPTION, OR CORRUPTION OF DATA OR
   OTHER INFORMATION TRANSMITTED IN CONNECTION WITH THE USE OF ANY SERVICE
   RELATED TO PATIENT PORTAL. Once information is received by us, your medical
   information will be treated as confidential and given the same protection
   that all of our other medical records are given.


SECURITY, CONFIDENTIALITY, AND USAGE GUIDELINES FOR PATIENT PORTAL

 * YOU MUST NOT SEND ANY MESSAGES REQUIRING URGENT ATTENTION USING PATIENT
   PORTAL. Doing so may create a delay in your receiving necessary medical
   treatment and could result in loss of life, permanent injury, or significant
   deterioration in your health. If you believe that you have an urgent medical
   matter, you should call 911 immediately or proceed to the nearest emergency
   room. If the matter is not urgent but you need a response in less than two
   business days, please contact your clinician's office directly by telephone
   during our regular business hours, which you may find on the log-in screen
   for Patient Portal.
   
   
   
   FOR ALL MEDICAL EMERGENCIES, IMMEDIATELY CALL 911
   

 * Patient portal is designed as a secure Internet-based environment through
   which you may receive confidential medical information about yourself. When
   you initially enroll to use the Patient Portal, you will need to confirm your
   identity via two unique workflows, as well as establish an email and a
   confidential password for login credentials. Please DO NOT SHARE YOUR
   PASSWORD with anyone. Anyone with access to your password will be able to
   view your medical and financial information and communicate with your health
   care team as if that person were you. Thus, when you give someone your
   password, you are authorizing that person to access your account, and you are
   responsible for all transactions that person performs while using your
   service. It is your responsibility to prevent disclosure of your password and
   to change your password if you feel that your security has been compromised.
   If you believe that your password has become known to an unauthorized person
   and want verification of any changes that may have been made to your account,
   please contact us for assistance. You can change your password in the Patient
   Portal at any time by clicking the "Security Settings" link under "My
   Profile."
   
   
 * You may request a Patient Portal account for yourself. You may not request or
   access a Patient Portal account for anyone else, except that a parent or
   guardian may request and access an account on behalf of a minor child. By
   accepting these terms and conditions, you certify that you are authorized to
   open or access the account you are requesting and that all information you
   have provided to us is true and correct to the best of your knowledge.
   
   
 * Once you have activated your Patient Portal account, the Patient Portal Inbox
   will become the primary vehicle to receive important messages from your
   participating provider(s) and other personal medical information. You MUST
   provide us with your email address when activating your Patient Portal
   account and keep your email address current via the My Profile link, to
   ensure that you receive notification of newly released information in a
   timely manner. You may continue to receive communications via the United
   States Postal Service or other means from us.
   
   
 * We keep track of the pages our patients visit within Patient Portal, in order
   to determine what services are the most popular. This data is used to deliver
   customized content within Patient Portal to patients whose behavior indicates
   that they are interested in a particular subject area.
 * We secure your personal information from unauthorized access, use or
   disclosure. The personally identifiable information you provide is maintained
   by us on computer servers in a controlled, secure environment, protected from
   unauthorized access, use or disclosure. When personal information is
   transmitted from your PC and/or mobile devices to Patient Portal, it is
   protected through the use of encryption, such as the Secure Socket Layer
   (SSL) protocol. As a user of Patient Portal you hereby agree that you (and
   not the Practice Entities) are solely liable for viruses, worms, Trojan
   horses, cancel bots, and other electronic mechanisms designed to destroy or
   impair the functioning of computer systems already residing on your PC and/or
   mobile device.
 * When you use the Patient Portal, we collect personally identifiable
   information, such as your email address, name, home address, telephone
   number, ZIP code, age, gender, contact preferences, access times, and account
   activity. This information is used by us for the operation of the service, to
   maintain quality of the service, and to provide general statistics regarding
   use of Patient Portal. We may share data with business associates working on
   our behalf to help us perform statistical analysis, send you email or postal
   mail, provide customer support, or arrange for deliveries. We encourage you
   to review the Privacy Statement for further information regarding how your
   personal information may be used.
 * Cookies are used for system performance functionality. You have the ability
   to accept or decline cookies. Most Web browsers automatically accept cookies,
   but you can usually modify your browser setting to decline cookies if you
   prefer. If you choose to decline cookies, you may not be able to fully
   experience the interactive features of the Patient Portal services.


HOW WE PROTECT YOUR PERSONAL HEALTH INFORMATION

 * We consider the privacy of your health information to be one of the most
   important elements in our relationship with you and one we take very
   seriously. By accessing or using Patient Portal, you acknowledge that you
   have received and read a copy of our Notice of Privacy Practices, which can
   be found in paper copy at our office locations or through your Patient Portal
   account under the "Forms" link.
   
   
 * We are committed to protecting the privacy of the information you send and
   receive through Patient Portal, and will only collect and use such
   information as permitted under the Patient Portal Privacy Statement, which
   can be found online within Patient Portal. By using Patient Portal, you also
   consent to all of the terms and conditions described in the Privacy
   Statement.
   
   
 * All communications between you and our health care team using Patient Portal
   are carried over a secure, encrypted connection directly into our electronic
   medical record. While you may receive email messages notifying you of new
   messages in your Patient Portal Inbox, these emails will not contain any
   personal health information. It is your responsibility to login to your
   Patient Portal account and read the messages promptly.


YOUR RESPONSIBILITIES

 * Patient Portal is a communication service offered as a convenience to our
   patients. We reserve the right to change the terms, conditions, and notices
   under which Patient Portal is offered. By accessing or using Patient Portal,
   you further agree that any and all such modifications are effective and
   binding upon you immediately upon posting of the modified version. We reserve
   the right in the future to charge a fee for the use of Patient Portal. You
   will be notified in advance of any such change and asked to re-apply if you
   agree to the fee and wish to continue with the Patient Portal service.
   
   
 * You understand that by accepting the terms and conditions of this Agreement
   you are agreeing to receive your patient balance statements delivered
   electronically to your Patient Portal account. You have the option at any
   time to revert back to receiving your patient balance statements as paper
   statements sent to you via U.S. Mail. You may exercise that option by
   checking the appropriate checkbox located at the bottom of the Billing Tab in
   Patient Portal under "Patient Preferences."
   
   
 * You acknowledge that by entering your home and/or mobile telephone number
   into Patient Portal you are providing written consent for the Practice
   Entities to send automated, prerecorded, or artificial voice telephone calls
   to all provided numbers. You may opt-out of receiving these calls on the
   "Contact Preferences" page, located under the My Profile tab.
 * You understand that Patient Portal provides you with online access to some
   clinical information about you. You are solely responsible for any sharing of
   Patient Portal content that you intentionally or unintentionally communicate
   to others.




PATIENT PORTAL MESSAGING

 * By using Patient Portal, you acknowledge and agree that this messaging
   service is intended to facilitate dialogue regarding personal health matters.
   You agree not to use Patient Portal to post or send or post any illicit or
   offensive material.
   
   
 * You understand that messages will be routed to the appropriate department as
   necessary for handling, and therefore our employees other than your
   physician, nurse practitioner, or physician's assistant may be involved in
   addressing your request. If your physician is out of the office or
   unavailable to respond, messages sent via Patient Portal may be routed to
   other authorized healthcare providers within our practice to facilitate a
   timely response to your request. Therefore, use of Patient Portal may not be
   appropriate if there is sensitive information that you want to discuss
   directly with your healthcare provider.
   
   
 * You understand that your health care team may send you messages, test
   results, and other communications via Patient Portal as authorized in the
   sole discretion of your physician. These messages may contain information
   important to your health and medical care. It is your responsibility to
   monitor these messages. By entering your valid and functional email address
   at registration, you have enabled us to notify you of messages sent to your
   Patient Portal Inbox.




DISCONTINUING USE OF PATIENT PORTAL

 * You may discontinue your use of Patient Portal at any time by sending a
   secure message to your primary care provider's office requesting this change.
   
   
 * We reserve the right, in our sole discretion, to limit or discontinue your
   use of Patient Portal at any time and for any reason, including, but not
   limited to, your use of Patient Portal on behalf of another person.
   
   
 * Your Patient Portal service will be discontinued if you no longer have a
   primary care provider who participates in Patient Portal at your practice.
   
   
 * You will be notified if your Patient Portal service is discontinued.
   
   




YOUR CLINICAL INFORMATION

 * As we provide your health care, we are required to maintain documentation of
   your medical history, current conditions, treatment plan, and all treatments
   given, including the results of all tests, procedures, and therapies. Patient
   Portal is an Internet application that enables a patient to have secure
   web-based access to personal clinical information, as released by the
   treating physician, and allows secure electronic messaging with our
   participating physicians. By using Patient Portal, you understand that not
   all of your medical record with us will be accessible through your Patient
   Portal account. Posting of information to your Patient Portal account is at
   the sole discretion of your individual physician(s).
   
   
 * Messages you send or receive via Patient Portal may become part of your
   permanent medical record at the sole discretion of your physician. If such
   messages are made part of your permanent medical record, they will be
   accessible to our current and future staff members who are involved with your
   care.
   
   
 * All of our electronic medical records are subject to state and federal
   regulations governing the security and confidentiality of medical records.
   
   




COPYRIGHT AND TRADEMARKS

All content included in Patient Portal and on all of our, including, but not
limited to, text, photographs, graphics, button icons, images, artwork, names,
logos, trademarks, service marks, and data ("Content"), in any form, are
protected by U.S. and international copyright and trademark law and conventions.
The Content includes both Content owned or controlled by one or more of the
Practice Entities, as well as Content owned or controlled by third parties and
licensed to one or more of the Practice Entities, and no right, title, or
interest is granted to you in or to any Content other than the right to use such
content in connection with your use of Patient Portal. Reproduction of any
Content, in whole or in part, by any means, is prohibited without our express
written consent.





SITE ACCESS AND LICENSES

 * We grant to you a non-assignable, non-sublicensable, terminable, limited
   license to make personal use of our website, Patient Portal, and the
   associated services in accordance with these terms and conditions. This
   license expressly excludes, without limitation, any reproduction,
   duplication, sale, resale, or other commercial use of the website, Patient
   Portal, or any of the associated services; making any derivative of the
   website, Patient Portal, or any of the associated services; and the
   collection and use of user email addresses or other user information
   (including, without limitation, health information or any data extraction or
   data mining whatsoever).
   
   
 * Failure to comply with any of the terms and conditions contained herein may
   result in revocation of your license and cancellation of your Patient Portal
   account, including the right to access information through Patient Portal. We
   reserve the right to report violations of law to appropriate law enforcement
   agencies and to pursue all other rights and remedies available to it under
   civil or criminal law.
   
   




LINKS TO THIRD-PARTY WEBSITES

This website and Patient Portal contain links to websites operated by other
parties. The Practice Entities do not sponsor, operate, control, or endorse any
of these sites, nor the information, products, or services provided by third
parties through the Internet, nor do the Practice Entities make any guarantee,
warranty, or representation regarding the accuracy of the information contained
on the websites. The Practice Entities have no control over the security or
privacy practices of these external websites. Use of other sites is strictly at
your own risk including, but not limited to, any risks associated with
destructive viruses. You are responsible for viewing and abiding by the terms
and conditions of use and the privacy statements of the other websites.





NO WARRANTIES

This Patient Portal and all other sites hosted by any of the Practice Entities
and the content contained herein and therein are provided by the Practice
Entities on an "As Is" basis. THE PRACTICE ENTITIES MAKE NO REPRESENTATIONS OR
WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, AS TO THE OPERATION OF ITS SITES, OR
THE CONTENT, PRODUCTS, OR SERVICES INCLUDED THEREIN. TO THE FULLEST EXTENT
PERMISSIBLE BY APPLICABLE LAW, THE PRACTICE ENTITIES DISCLAIM ALL WARRANTIES,
EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, IMPLIED WARRANTIES OF
MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND INFRINGEMENT.





LIMITATION OF LIABILITY

 * Some of the material on our website and in Patient Portal is provided by
   third parties, and the Practice Entities shall not be held responsible for
   any such third-party material. The Practice Entities disclaim any
   responsibility for, or liability related to, such third-party material. Any
   questions, complaints, or claims related to any product should be directed to
   the appropriate third party.
   
   
 * None of the Practice Entities or any of their contractors or subcontractors
   shall be liable for any loss, injury, illness, damages, or claims of any kind
   resulting from your failure to timely read messages you may receive through
   Patient Portal.
   
   
 * If you have any basis for recovering damages from the Practice Entities or
   its affiliates or vendors, you can only recover direct damages up to $10. You
   cannot recover any other damages, including consequential, lost profits,
   special, indirect, incidental, or punitive damages.
   
   
 * Some or all of these limitations or exclusions may not apply to you if your
   state, province, or country does not allow the exclusion or limitation of
   incidental, consequential, or other damages.
   
   




GENERAL

By using our website (including, but not limited to, Patient Portal), you agree
that the laws of the Commonwealth of Massachusetts, without regard to principles
of conflict of laws, will govern these terms and conditions and any dispute that
might arise between you and any of the Practice Entities. You expressly agree
that exclusive jurisdiction for any dispute with any of the Practice Entities
resides in the courts of Middlesex County, Massachusetts, and you further agree
and expressly consent to the exercise of personal jurisdiction in the courts of
Middlesex County, Massachusetts, in connection with any claim involving any of
the Practice Entities. Use of our website is unauthorized in any jurisdiction
that does not give effect to the terms and conditions set forth herein.

Close










PRIVACY POLICY

close
This notice describes how medical information about you may be used and
disclosed and how you can get access to this information. Please review it
carefully. This notice describes how medical information about you may be used
and disclosed and how you can get access to this information. Please review it
carefully.




YOUR RIGHTS

You have the right to:
 * Get a copy of your paper or electronic medical record
 * Correct your paper or electronic medical record
 * Request confidential communication
 * Ask us to limit the information we share
 * Get a list of those with whom we've shared your information
 * Get a copy of this privacy notice
 * Choose someone to act for you
 * File a complaint if you believe your privacy rights have been violated



YOUR CHOICES

You have some choices in the way that we use and share information as we:
 * Tell family and friends about your condition
 * Provide disaster relief
 * Include you in a hospital directory
 * Provide mental health care
 * Market our services and sell your information
 * Raise funds



OUR USES AND DISCLOSURES

We may use and share your information as we:
 * Treat you
 * Run our organization
 * Bill for your services
 * Help with public health and safety issues
 * Do research
 * Comply with the law
 * Respond to organ and tissue donation requests
 * Work with a medical examiner or funeral director
 * Address workers' compensation, law enforcement, and other government requests
 * Respond to lawsuits and legal actions



YOUR RIGHTS

When it comes to your health information, you have certain rights. This section
explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record
 * You can ask to see or get an electronic or paper copy of your medical record
   and other health information we have about you. Ask us how to do this.
 * We will provide a copy or a summary of your health information, usually
   within 30 days of your request. We may charge a reasonable, cost-based fee.


Ask us to correct your medical record
 * You can ask us to correct health information about you that you think is
   incorrect or incomplete. Ask us how to do this.
 * We may say "no" to your request, but we'll tell you why in writing within 60
   days.


Request confidential communications
 * You can ask us to contact you in a specific way (for example, home or office
   phone) or to send mail to a different address.
 * We will say "yes" to all reasonable requests.


Ask us to limit what we use or share
 * You can ask us not to use or share certain health information for treatment,
   payment, or our operations. We are not required to agree to your request, and
   we may say "no" if it would affect your care.
 * If you pay for a service or health care item out-of-pocket in full, you can
   ask us not to share that information for the purpose of payment or our
   operations with your health insurer. We will say "yes" unless a law requires
   us to share that information.


Get a list of those with whom we've shared information
 * You can ask for a list (accounting) of the times we've shared your health
   information for six years prior to the date you ask, who we shared it with,
   and why.
 * We will include all the disclosures except for those about treatment,
   payment, and health care operations, and certain other disclosures (such as
   any you asked us to make). We'll provide one accounting a year for free but
   will charge a reasonable, cost-based fee if you ask for another one within 12
   months.


Get a copy of this privacy notice
You can ask for a paper copy of this notice at any time, even if you have agreed
to receive the notice electronically. We will provide you with a paper copy
promptly.

Choose someone to act for you
 * If you have given someone medical power of attorney or if someone is your
   legal guardian, that person can exercise your rights and make choices about
   your health information.
 * We will make sure the person has this authority and can act for you before we
   take any action.


File a complaint if you feel your rights are violated
 * You can complain if you feel we have violated your rights by contacting us
   using the information on page 1.
 * You can file a complaint with the U.S. Department of Health and Human
   Services Office for Civil Rights by sending a letter to 200 Independence
   Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting
   www.hhs.gov/ocr/privacy/hipaa/complaints/.
 * We will not retaliate against you for filing a complaint.



YOUR CHOICES

For certain health information, you can tell us your choices about what we
share. If you have a clear preference for how we share your information in the
situations described below, talk to us. Tell us what you want us to do, and we
will follow your instructions.
In these cases, you have both the right and choice to tell us to:
 * Share information with your family, close friends, or others involved in your
   care
 * Share information in a disaster relief situation
 * Include your information in a hospital directory

If you are not able to tell us your preference, for example if you are
unconscious, we may go ahead and share your information if we believe it is in
your best interest. We may also share your information when needed to lessen a
serious and imminent threat to health or safety.

In these cases we never share your information unless you give us written
permission:
 * Marketing purposes
 * Sale of your information
 * Most sharing of psychotherapy notes

In the case of fundraising:
 * We may contact you for fundraising efforts, but you can tell us not to
   contact you again.



OUR USES AND DISCLOSURES

How do we typically use or share your health information?

We typically use or share your health information in the following ways.

Treat you
We can use your health information and share it with other professionals who are
treating you.

Example: A doctor treating you for an injury asks another doctor about your
overall health condition.

Run our organization
We can use and share your health information to run our practice, improve your
care, and contact you when necessary.

Example: We use health information about you to manage your treatment and
services.

Bill for your services
We can use and share your health information to bill and get payment from health
plans or other entities.

Example: We give information about you to your health insurance plan so it will
pay for your services.

How else can we use or share your health information?

We are allowed or required to share your information in other ways . usually in
ways that contribute to the public good, such as public health and research. We
have to meet many conditions in the law before we can share your information for
these purposes. For more information see:
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

Help with public health and safety issues

We can share health information about you for certain situations such as:
 * Preventing disease
 * Helping with product recalls
 * Reporting adverse reactions to medications
 * Reporting suspected abuse, neglect, or domestic violence
 * Preventing or reducing a serious threat to anyone's health or safety


Do research
We can use or share your information for health research.

Comply with the law
We will share information about you if state or federal laws require it,
including with the Department of Health and Human Services if it wants to see
that we're complying with federal privacy law.

Respond to organ and tissue donation requests

We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

We can share health information with a coroner, medical examiner, or funeral
director when an individual dies.

Address workers' compensation, law enforcement, and other government requests

We can use or share health information about you:
 * For workers' compensation claims
 * For law enforcement purposes or with a law enforcement official
 * With health oversight agencies for activities authorized by law
 * For special government functions such as military, national security, and
   presidential protective services


Respond to lawsuits and legal actions

We can share health information about you in response to a court or
administrative order, or in response to a subpoena.



OUR RESPONSIBILITIES

 * We are required by law to maintain the privacy and security of your protected
   health information.
 * We will let you know promptly if a breach occurs that may have compromised
   the privacy or security of your information.
 * We must follow the duties and privacy practices described in this notice and
   give you a copy of it.
 * We will not use or share your information other than as described here unless
   you tell us we can in writing. If you tell us we can, you may change your
   mind at any time. Let us know in writing if you change your mind.


For more information see:
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all
information we have about you. The new notice will be available upon request.


Close










SENDING

close
Your message is being sent.


PHONE VERIFICATION

close
Please wait while we initiate a call to you...


PHONE VERIFICATION

close
You should receive a call within 60 seconds.

Status: 

When prompted, please supply the following verification code using your
telephone key pad:


#


Cancel


TIMEOUT WARNING

close
For your safety and security, your session is about to be logged off due to
inactivity.
Please click OK to continue your session.
OK


FREQUENTLY ASKED QUESTIONS

close
Below you will find answers to commonly asked questions concerning the website.
For technical issues with this website during normal business hours, please
contact our office.

Below you will find answers to commonly asked questions concerning the website.
For technical issues with this website during normal business hours, please
contact our office.




WHAT IS THE PATIENT PORTAL?

What is the Patient Portal? Who can use the Patient Portal?


SECURITY

How secure is the Patient Portal? What if my password is stolen? What if I
forget my password? What if I'm unable to access the Patient Portal? How do I
sign out?


SIGNING UP

What do I need to access the Patient Portal? How do I register for the Patient
Portal? How do I sign in to the Patient Portal?


MY PROFILE

How do I edit my profile information? How do I edit how my contact preferences
for different types of notifications? How do I view my insurance information?


APPOINTMENTS

How do I reschedule an appointment? How do I request an appointment? How do I
view upcoming appointments? Where can I fill out medical forms before my
appointment? Why doesn't anything happen when I click on a medical form? How do
I view past appointments?


MESSAGES

Note: The availability of this feature is at the discretion of your practice.
How do I ask my provider a question? How soon can I expect a response from my
provider? How do I view messages and/or responses from my provider? Why can't I
delete my sent and archived messages?


BILLING

Note: The availability of this feature is at the discretion of your practice.
How do I view my account balance? How do I ask a question about my account
balance? How do I make a payment? How do I view my payment history? How do I
view my account statements? How do I manage my saved credit and debit cards? Why
doesn't anything happen when I click "View Detail" or "View Receipt?"


MY HEALTH

Why can't I view my test results? How do I request a prescription?



WHAT IS THE PATIENT PORTAL?

WHAT IS THE PATIENT PORTAL?

The Patient Portal is an online service that provides patients secure access to
their health information. Various features may be available on the portal at
your practice's discretion, including the ability to send messages to your
health care providers, schedule appointments, and pay bills online.  top

WHO CAN USE THE PATIENT PORTAL?

Any active patient over the age of 13 is eligible to register for and use the
Patient Portal. If you are authorized, a family access account can be created
that will allow you to access selected family members' health information. top


SECURITY

HOW SECURE IS THE PATIENT PORTAL?

All communications between you and your provider's office are carried over a
secure, encrypted connection. This secure connection utilizes industry standard
Secure Socket Layer (SSL) encryption to ensure secure data transmission as well
as server-side digital certificate authentication. To prohibit unauthorized
access, all medical information is stored behind our firewall in our electronic
medical record system.

You should always make sure that the email address on file for your account is
accurate, as notifications from the portal are sent to the email address on
file. Make sure to sign out of your account each time you are finished using the
portal. top

WHAT IF MY PASSWORD IS STOLEN?

Change your password immediately by completing one of the following options:
 * Sign in to the Patient Portal, go to athenahealth Profile, and reset your
   password.
 * Click Forgot your password on the sign-in page and enter your email address
   to request a password reset email.
 * Contact your provider's office and request a password reset email.

 top

WHAT IF I FORGET MY PASSWORD?

On the sign-in page, click Forgot your password and enter your email address to
request a password reset email. top

WHAT IF I'M UNABLE TO ACCESS THE PATIENT PORTAL?

Please contact your provider's office to register or to verify your
information. top

HOW DO I SIGN OUT?

Click the Sign Out link at the top right of the screen. Alternatively, if your
keyboard remains idle for 10 minutes or more, you will receive a pop-up window
asking if you are still actively using the portal. If you do not click the OK
button, you will be signed out automatically. Any information you have typed and
not saved or sent will be lost.
Note: Do not use a public computer to access your health information.
 top


SIGNING UP

WHAT DO I NEED TO ACCESS THE PATIENT PORTAL?

 * an email address
 * access to a computer and the internet

 top

HOW DO I REGISTER FOR THE PATIENT PORTAL?

To register for the Patient Portal, click the Sign up today link on the sign-in
page, then enter your information.  top

HOW DO I SIGN IN TO THE PATIENT PORTAL?

To sign in to the Patient Portal, click on the Login with athenahealth button.
Next, enter your email address and password, then click the Log in button.  top

I HAVE A PIN INSTEAD OF A PASSWORD. HOW DO I SIGN IN TO THE PATIENT PORTAL?

We have made our sign-in process easier. If you have been signing in with a PIN,
date of birth, and phone number, you will now be able to sign in with just an
email address and password. To do this, you must create a password for your
account by clicking the Use your PIN to create a password link on the Patient
Portal sign-in page, and following the instructions. This is a one-time only
change; going forward you will simply need to enter your email address and
password to sign in.  top


MY PROFILE

HOW DO I EDIT MY PROFILE INFORMATION?

 1. Click the My Profile tab.
 2. Click on the athenahealth profile section and then the athenahealth profile
    button.
 3. Update your information as required.
 4. Click on the back arrow to return to the Patient Portal.

 top

HOW DO I EDIT HOW MY CONTACT PREFERENCES FOR DIFFERENT TYPES OF NOTIFICATIONS?

 1. Click on the My Profile tab.
 2. Select My Notifications.
 3. Indicate your contact preferences for different types of notifications.
 4. Click the Save button.

Note: Portal users cannot deactivate email notifications, as at least one method
of communication is required.
 top

HOW DO I VIEW MY INSURANCE INFORMATION?

 1. Click the My Profile tab.
 2. Select Insurance.

Note: If your insurance information has changed, please contact your provider's
office.
 top


APPOINTMENTS

HOW DO I RESCHEDULE AN APPOINTMENT?

 1. Click the Appointments tab. Your scheduled appointments will appear listed
    under Upcoming Appointments.
 2. Click the Reschedule link that appears beneath the date of your appointment.
 3. Select an available appointment from the calendar.
 4. Click the Reschedule Appointment button.

Note: The availability of this feature is at the discretion of your practice.
 top

HOW DO I REQUEST AN APPOINTMENT?

It is at your practice's discretion to allow online appointment scheduling. If
your practice does not allow online appointment scheduling, you can request an
appointment by sending a message to your provider. To do so:
 1. Click the Messages tab.
 2. Click the Compose Message button.
 3. Select the Appointments and scheduling option from the message type dropdown
    menu.
 4. Select your provider, office location, and your preferred time of day and
    days of week.
 5. Type your subject and message.
 6. Click the Send button.

 top

HOW DO I VIEW UPCOMING APPOINTMENTS?

Click the Appointments tab. Your scheduled appointments will appear listed under
Upcoming Appointments.  top

WHERE CAN I FILL OUT MEDICAL FORMS BEFORE MY APPOINTMENT?

 1. Click the Appointments tab.
 2. Select Medical Forms.
 3. Click the desired form. Forms with a computer icon can be completed and
    submitted online, while forms with a printer icon can be printed out,
    completed, and brought with you to your appointment.

Note: The availability of this feature is at the discretion of your practice.
 top

WHY DOESN'T ANYTHING HAPPEN WHEN I CLICK ON A MEDICAL FORM?

Adobe Acrobat is required to view and print forms on the portal. On the Medical
Forms page, you will see a note indicating this requirement, along with a link
to download this program for free. top

HOW DO I VIEW PAST APPOINTMENTS?

 1. Click the Appointments tab.
 2. Select Past.
 3. Select the desired timeframe from the Past Appointments dropdown menu.

 top


MESSAGES

Note: The availability of this feature is at the discretion of your practice.

HOW DO I ASK MY PROVIDER A QUESTION?

 1. Click the Messages tab.
 2. Click the Compose Message button.
 3. Select the message type from the dropdown options based on the topic of your
    question.
 4. Select your provider and office location.
 5. Type your subject and message.
 6. Click the Send button

 top

HOW SOON CAN I EXPECT A RESPONSE FROM MY PROVIDER?

Your provider's office will make every effort to respond to your messages within
a timely manner. Please do not expect a response on weekends or holidays. If you
need to speak with the office sooner, please call the office directly. Urgent
matters should not be dealt with via the Patient Portal. top

HOW DO I VIEW MESSAGES AND/OR RESPONSES FROM MY PROVIDER?

 1. Click the Messages tab.
 2. Select Inbox.
 3. Click the desired message in your inbox to read the message.

 top

WHY CAN'T I DELETE MY SENT AND ARCHIVED MESSAGES?

You cannot permanently delete sent or archived messages. This is because all
messages that you send and receive in the Patient Portal are part of your
medical record. top


BILLING

Note: The availability of this feature is at the discretion of your practice.

HOW DO I VIEW MY ACCOUNT BALANCE?

Click the Billing tab. Your list of charges will be listed by date of visit,
followed by your account balance, under Recent Charges Payable Online. top

HOW DO I ASK A QUESTION ABOUT MY ACCOUNT BALANCE?

 1. Click the Messages tab.
 2. Select Compose Message.
 3. Select the Billing and Payments option from the message type dropdown menu.
 4. Select your provider and office location.
 5. Type your subject and message.
 6. Click the Send button.

 top

HOW DO I MAKE A PAYMENT?

 1. Click the Billing tab. Your recent charges will appear listed under Recent
    Charges Payable Online.
 2. Click the Make a Payment button.
 3. Select the charges you want to pay under Select Payment Amount.
 4. Click the Continue button.
 5. Enter your credit card information under Select Payment Method.
 6. Click the Continue button.
 7. Review your payment information.
 8. Click the Continue button

 top

HOW DO I VIEW MY PAYMENT HISTORY?

 1. Click the Billing tab.
 2. Select Payments.
 3. Select the payment you would like to view.
 4. Click the View detail link.

 top

HOW DO I VIEW MY ACCOUNT STATEMENTS?

 1. Click the Billing tab.
 2. Select Statements.
 3. Select the patient statement you would like to view.
 4. Click the View detail link

 top

HOW DO I MANAGE MY SAVED CREDIT AND DEBIT CARDS?

 1. Click the Billing tab.
 2. Select Payment Methods.
 3. From here you can:
 4. a. Click Add a Credit Card to save a new card for future payments.
    b. Click Make Default to set a saved card as your default payment method.
    c. Click the Delete link to remove a saved card from the portal.

 top

WHY DOESN'T ANYTHING HAPPEN WHEN I CLICK "VIEW DETAIL" OR "VIEW RECEIPT?"

Adobe Acrobat is required to view and print statements and forms on the Patient
Portal. When you click the Billing tab, you will see a note indicating this
requirement, along with a link to download this program for free. top


MY HEALTH

WHY CAN'T I VIEW MY TEST RESULTS?

It is at your provider's discretion to make test results available. Your
provider must authorize the release of your test results in order for them to
post to your Patient Portal account. Only test results which are considered
appropriate for release will be accessible through the Patient Portal. top

HOW DO I REQUEST A PRESCRIPTION?

 1. Click the Messages tab.
 2. Select Compose Message.
 3. Select Prescriptions and refills from the message type dropdown menu.
 4. Select your provider and office location.
 5. Type your subject and message.
 6. Click the Send button.

 top










SUCCESS

close



ACCOUNT LOCKED!

close
Your account has been locked due to too many incorrect login attempts. Please
click here to re-register and re-activate your account.


CREATE A FAMILY ACCOUNT

close


Print

You can create a family or guarantor login account that will allow you to access
selected family members' health information within the same login account.
"Family" access gives you the same access to patient information and actions as
you do with your own patient web portal account. "Guarantor" access gives you
the ability to view contact and billing information and make payments on the
patients' behalf.

 1. In order to setup an account of this nature, the patient to which you are
    requesting access will need to log in to their patient web portal account
    and grant access using the following steps. If you know the login
    information for this patient, such as your child, log into their web portal
    account.
 2. Go to the "My Profile" tab and click on "Family/Guarantor Access."
 3. Enter the e-mail address of the family member and click on "Go."
 4. Select an Account Type of "Family" or "Guarantor", fill in the required
    fields, and click on "Submit."
 5. A temporary password will appear in a pop up screen. Write this password
    down and forward it to the family member, as it will not be available after
    clicking on "ok."
 6. The family member's name will then be listed under the "Family" or
    "Guarantor" section at the top of the screen.
 7. To edit or remove this family member's access, click on the family member's
    name at the top of the screen.
 8. To sign into this family or guarantor account, check the "Sign in to your
    family or guarantor account" box on the Sign In screen, type in your email
    address and password, then click Sign In. Once singed in, you must change
    your password and accept the terms and conditions to view the account.


ERROR

close
We were unable to save your data. Please try again later.


Continue   Go Home


 

close
Use the image below to locate the code on your patient statement.
If you do not have your patient statement, sign in to the Patient Portal to
review your balance.


SMS TERMS AND CONDITIONS

close
The "GOH Medical" alerts program offers appointment, billing, lab result, and
general announcements via SMS on your cell phone. Message and data rates may
apply. Text STOP to 28309 in order to cancel your participation in the program
at any time. Text HELP to 28309 for support needs. Alerts 1 message per request.
As the program will involve the transmission and use of your personal
information, it is subject to GOH Medical's Privacy Policy, which is available
HERE, and to Patient Portal Terms and Conditions, which are available HERE.
Service is available on ACS Wireless, AT&T, Alltel, Appalachian Wireless, Bell
Mobility, Bluegrass Cellular, Boost (iDEN), Boos Unlimited (CDMA), Cellcom,
Cellular One from Dobson, Cellular One of East Central Illinois, Cellular South,
Centennial Wireless, Cincinnati Bell, Cricket Communications, Fido, GCI
Communications, Golden State Cellular, Illinois Valley Cellular, Immix Wireless,
Inland Cellular, MTS Mobility, MetroPCS, Nex-Tech Wireless, Rogers Wirless,
SaskTel Mobility, Sprint, T-Mobile, Telux Mobility, Thumb Cellular, U.S.
Cellular, Unicel, United Wireless, Verizon Wirless, Viaero Wireless, Virgin
Mobile, Virgin Mobile USA, West Central Wirless, and nTelos Wirless and is
subject to their terms of service. GOH Medical alerts may change or end the
program at its discrection.
Close