REGISTER

Registration

On-Line Medical Records, Secure Mail, Appointments, Rx Refill

* Required

*Title (Mr., Ms., Dr., etc.)

*First Name

*Last Name

*E-mail

*Username

*Password

*Confirm Password

*Address1

Address2

*City

*State *Zip

*Work Phone

Home Phone

FAX

* Birthdate

Comments

Please enter the following security code in the next field. For ease of use, only the characters 1 - 9 and A - F are printed. You may enter upper or lower case characters.

Please write down your username & password for future use.
You will receive a confirmation email from us. To ensure delivery to your inbox (not junk, bulk or spam boxes), please add our domain name www.familycaresw.com to your e-mail Address Book.
DON'T REGISTER MORE THAN ONCE PLEASE
If you need help with your account you may contact the Administrator at
Download PATIENTS' USER GUIDE TO ONLINE SERVICES in PDF format. To DOWNLOAD PDF: right-click link & choose Save Target As from menu

to read PDF file

Last updated 07/01/2008

On-Line Patient Services

Secure Mail, Appointments, Rx Refill

Family Care Southwest wants our patients to have access to contacting us 24/7 via our website. We provide this service with a password secure access from our website.

PATIENT REQUESTS ALL-IN-ONE FORM

Patients may register for their own, secure, on-line account. Once you Register and Login to your secure online account, all Patient Requests can be made from one location. You will be able to Make an Appointment, send Secure Mail to your Doctor and request a Prescription Refill -- All from the same form!