Â鶹´«Ã½

Patient Portal Help

Introduction

There are four types of forms that you may be asked to complete when visiting DeWeese Health Center. The email you receive when scheduling your appointment(s) will indicate what forms you need to complete prior to coming to your appointment.

The types of forms you may be asked to complete are listed below.

Patient Portal Electronic Form

These are our most common type of form. These forms are web-based forms housed in the DeWeese Health Center Patient Portal. These forms are the preferred method for you to complete as they are generally simple, straight-forward, and can be electronically signed by you typing your name. These forms are found in the DeWeese Health Center Patient Portal under the "Forms" tab once you sign in.

Forms currently accessible in this format:

  • Athletics COVID-19 - Consent for Treatment
  • Consent for Treatment
  • GINA Notification (GINA stands for "Genetic Information Nondiscrimination Act")
  • Health History
  • Insurance Information
  • Patient Demographics

DeWeese Health Center PDF Forms

Forms currently accessible in this format:

  • Parental Consent for Treatment
Qualtrics web based forms

Forms currently accessible in this format:

  • List coming soon

Paper-based forms

Forms currently accessible in this format:

  • List coming soon

Instructions

You will find instructions on how to access, complete, and submit the various types of forms and files needed for your appointment below.

Registration

Registering for the Patient Portal

Patient Portal Electronic Forms

Completing Patient Portal Electronic Forms

PDF Forms

Accessing and returning PDF forms

Downloading and completing PDF forms

Uploading completed PDF forms

Signing your PDF forms

Create a Digital ID

Signing PDF forms with your Digital ID

Insurance Upload

Uploading your Insurance Card Information


For assistance with the DeWeese Health Center Patient Portal please email us at DHCPatientPortal@kent.edu.