Our Patient Portal

New Patient Portal

Our new and improved Patient Portal launches 7/10/2017. In order to use the new portal, ALL patients, including those who have used the portal in the past, must complete and submit the form below to request access.

Once your access request has been submitted, we will email an invitation with login information, which will be valid for 14 days. If you do not log in within 14 days, you will need to request a new invitation.

Benefits of the Patient Portal

Request an appointment
View scheduled appointments
Request prescription refills
Send and receive secure messages
Access your lab results
Update your personal information
Access portal from any Internet device

If you already have a username and password, click here

Request Access to the Portal

Please fill out the form below to request access to the patient portal. Thank you.

Submitted by admin on Wed, 2017-07-05 14:21

First Name *

Last Name *

Date of Birth *

Year

Month

Day

Address *

City *

Phone Number *

Email *

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question * 5 + 7 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Request Appointment

We provide comprehensive women’s health services by appointment only. Same day appointments are often available. To schedule an appointment, click the Submit link below.

Submit

Ask A Question

Have a question for the Beaver Dam Women's Health staff? Click the link below to submit your general question. For urgent medical matters, contact us at 920-645-0900 or dial 911.

Ask Now

Meet Our Team

Get to know the health specialists and doctors that make us Beaver Dam's friendliest women's health and pregnancy clinic.