Patient Portal
Manage your healthcare online. Message your provider, complete forms, check insurance, and start video visits—all in one secure place.
Secure Patient Messaging
Communicate directly with your healthcare provider through our HIPAA-compliant messaging system. Ask questions, request prescription refills, or discuss test results—all from the comfort of home.
HIPAA-Compliant
Your messages are encrypted and secure
Quick Responses
Providers typically respond within 24-48 hours
Prescription Refills
Request refills without a phone call
Message Your Provider
Secure & encrypted
Hi Dr. Mitchell, I'd like to schedule a follow-up for my recent blood work results.
Patient - 2:30 PM
Of course! I'd be happy to discuss your results. Let's schedule for Thursday at 3 PM.
Dr. Mitchell - 2:45 PM
New Patient Intake Form
Complete your intake form online before your visit to save time. All information is kept strictly confidential.
Please fill out all required fields. Fields marked with an asterisk (*) are required. Your information is protected by HIPAA regulations.
Form Submitted Successfully!
Thank you for completing your intake form. Our team will review your information before your visit.
Submission Error
Something went wrong. Please try again or call us at (517) 555-1234.
Insurance Eligibility
We accept most major insurance plans. Check if we're in-network with your provider.
Accepted Insurance Plans
- Blue Cross Blue Shield (All Plans)
- Aetna (PPO & HMO)
- United Healthcare (All Plans)
- Cigna (PPO)
- Humana
- Medicare
- Medicaid
- Priority Health
Verify Your Coverage
Don't see your insurance plan? Contact us to verify your coverage. We work with many additional providers and can help you understand your benefits.
Call Us
(517) 555-1234 — Option 2 for Insurance
Email Us
insurance@maplegroveprimarycare.com
Instant Video Visits
Skip the waiting room. Connect with a healthcare provider from home via our secure, HIPAA-compliant video platform.
Perfect For
Cold & flu, allergies, skin conditions, follow-ups, mental health consultations
How It Works
Book online, receive a link, and connect with your provider in minutes
Prescriptions Included
Prescriptions sent directly to your preferred pharmacy
