New patients should print and fill out the following forms ahead of your first appointment:
Medical/Dental Appointment Forms
Behavioral Health Appointment Forms
New Patients: Please be advised, Equitas Health providers do not prescribe controlled substances for new patients nor do we manage chronic pain issues. If you are experiencing chronic pain problems, your Equitas Health provider will refer you to a specialist outside of our system or will help you explore alternative methods of managing pain.
MyChart allows you to engage with your healthcare provider in your care.
Those that use MyChart can:
- Communicate with their healthcare team.
- View their medical records.
- Request prescription refills.
- Receive results
To sign up for My Chart or for questions regarding your current account, please contact our medical center staff and they will gladly help you.
Medical Records Request: Please direct any questions about medical records to firstname.lastname@example.org.
Billing: Please direct any questions regarding billing to email@example.com.