MY Einstein Health Patient Portal is a free, secure, password-protected
website that gives you access to your Einstein Healthcare Network
Medical Records, including:
- Your recent visits
- Past visits
- Immunization records
- Medical procedures and discharge instructions
- Secure messaging to your healthcare provider
Click here to learn more information, including how to register.
Patient Care Forms
View and download all patient
View and download all self assessment forms here.
Please arrive 15 minutes prior to your scheduled appointment time to meet with your care team.
Please be sure to bring your current medical insurance card, pharmacy insurance card, and photo I.D. with you for each visit.
Your copay is due upon check-in. Payment for all non-covered services is due at the time of service. We accept cash, personal checks, VISA and Mastercard.
All appointments must be cancelled 24 hours in advance of your appointment.
If you are late for your scheduled appointment, you may be asked to reschedule.
Please call your pharmacy first to request any prescription refill. They will notify us of your request. Only call our office if you require a written prescription or a prior authorization or medication per your insurance company. We will then require your name, date of birth, provider name, medication name, and dosage and quantity (either a 30- or 90-day supply).
Please note: Do not wait until your prescription is out before requesting a refill. We do not fill prescriptions after hours or weekends. If there is a problem with your request, we will contact you. It is best to ask for refills during your appointment or simply call your pharmacy directly. Finally, please specify if your prescription is mail order and allow up to 2 weeks to receive your refill.
Narcotics will not be filled on weekends.
All telephone prescription requests require 72 hours (3 business days) advanced notice to allow your provider time to review and approve your request. Messages received after 12:00 P.M. Friday are processed the following Monday unless the request is urgent.
We require 72 hours (3 business days) notice to complete a referral. If you need a referral, call our office and press prompt #4 and have the following information ready:
· Your name, date of birth, and phone number.
· The provider/facility name and NPI number.
· The test or service being performed.
· Reason you are having the service.
· Date of your appointment.
· Insurance name and ID number.
Please note: If you receive a Referral Order when you check out, you will still need to request an insurance referral. We do not fax or mail referrals.
If you have an emergency and require a same-day referral, please to speak to a member of our staff.
Please allow 7-10 business days for our office to receive non-urgent test results and allow your provider time to review them. If it has been greater than 14 days and you have not heard from our office, please call and provide your name, date of birth, name and date of the test and where it was performed.
We are unable to release any results to you until the provider has reviewed them.
Most form requests require an office visit with your provider.
Sports, driving, and employment examinations are not covered by most insurance companies unless the visit can be combined with a covered Well Visit.
Most form request have fees ranging from $5 - $65. Please contact our office to learn about specific fees.
Forms completed after the Well Visit service is provided are subject to the practice form fee.
To have a copy of your medical records released, you will need to complete a Medical Records Authorization Request Form. The copying of medical records is provided by Ciox. Please note: there is a processing fee for transfer of medical records. Please contact us to learn the schedule fees by calling our office.
Always be sure to tell us about your health history, and any medications you are currently taking. It is also in your best interest to follow the care instructions offered by your provider. Be sure to keep your appointments and let us know if you need to cancel. Try to ask questions about your care if instructions aren’t clear and refer to the Einstein Physicians Montgomery Financial Policy regarding fees that may be assessed. Avoid smoking, unauthorized drugs and substances that could interfere with your health.
If you and your provider are unable to establish a relationship of mutual trust, your treatment may be discontinued after you are given written notice. Or, if you choose to change providers, reasonable assistance will be offered to help you make alternative arrangements for your medical care.
For urgent issues during our normal business hours call our office to get a same- or next-day appointment. We offer extended hours Monday through Thursday and Saturday. Our Triage Nurses work with your primary care provider to answer and facilitate any questions you may have regarding urgent issues. Our Patient Service Representatives are available to take your messages should you need non-urgent advice from your primary care provider. For urgent issues after our normal business hours call our main office and speak to our on-call physician.
Young adults who are transitioning from pediatric to adult care and are staying within our healthcare network are given a new patient packet at their last pediatric visit which contains the following:
- No-Show Policy
- Financial Policy
- Release of Information Form
- Privacy Notice
- Registration for Patient Portal
- How to Obtain Care-After Hours Access
- Registration Form
- Patient Intake Form
- Patient-Centered Medical Home (PCMH) Brochure
- Welcome Map
- Information You Should Know Regarding Your Health Care Treatment as a Minor
- Patient Experience Document
Their existing patient record is updated based on this information at the time of their first adult visit.
Transitioning young adults who go either inside or outside our healthcare network are given the following information:
- Release of Information Form
- Transition to adult care letter from their provider
- A medical summary, immunizations, along with any medications and/or specialists related to their chronic condition, if any
The practice uses a monthly adolescent/young adult report to reach existing patients, ages 12 to 17, who have not been seen.
Patients who do not show for their appointment are given a follow-up call and letter that is noted in their record.
Patients who are seen by a healthcare provider are provided a visit summary along with the age-appropriate acute and/or chronic management educational materials, and information on when to schedule their next visit.