Patient Portal

We make it easy to navigate your patient portal. Click on the following links to sign in, reset your password, or reset credentials.

Digital Forms

Your health information/medical records are available on the patient portal for the timeframe of 04/01/2019 to present. To request records prior to that, please fill out the form below.

To request a copy of your health information/medical records, please fill out the form below.

• We will process your request within 30 days.

Release of Information Request Form

To revoke or grant access to a proxy on our patient portal, fill out one of the forms below.

**If you have an existing Patient Portal, please share your access, rather than requesting proxy access. In order to share access, the person you're sharing with needs to have been a patient at FMDH in the past and have an email on file with us.

• Please allow 7 business days to process patient proxy access requests.

Patient Portal Proxy Revocation Form

Patient Portal Proxy Access Authorization Form