Important Information
MyChaseBrexton.org - Your Patient Portal! Communicate with your Chase Brexton provider, make a fast, secure bill payment, request a prescription refill, view your lab results, and much more.
Before your first appointment, you will need fill out the New Patient Packet for the service you are receiving. If you have access to a printer, please print and bring these forms to your first appointment.
New Patient Packets
Adult Medical, Behavioral Health, Social Work, OB/GYN
Dental
Pediatrics
Patient Handbook
Other Important Information
Verification of No Income
Sliding Fee Scale FAQ
Allow Chase Brexton to Discuss Your Care:
New Patient Packets
Other Important Information
MyChaseBrexton.org - Your Patient Portal! Communicate with your Chase Brexton provider, make a fast, secure bill payment, request a prescription refill, view your lab results, and much more.
Verification of No Income: English // Spanish
Sliding Fee Scale FAQ: English // Spanish
Allow Chase Brexton to Discuss Your Care: English // Spanish
Request Records from an Outside Provider: English // Spanish
Request Records from Chase Brexton: English // Spanish
Designation for Another Person to Consent for Medical Care Form: English // Spanish
Your Health History - A Short Record for Your Own Knowledge