Patient Instructions

We are currently using a new electronic medical record system and we will need you to enter your demographics and medical history online prior to your appointment if you haven’t already completed this. The simple steps to enter your information are as follows:

PLEASE PRINT THESE INSTRUCTIONS FOR REFERENCE

STEP 1: Click https://commonwealtheyes.nextechweb.com/NexWebPortal514b/PatientNewUser.aspx?goto=GeneralDemographics.aspx to access our secure site to enter your demographics and medical history.

STEP 2: Enter your Last Name and your security code. This code is: 982584569.You will be redirected to a new page to create your own unique username and password. Once you create a username and password you will have access to your online portal.

STEP 3: Click on the Demographics link to review your contact information. Please verify that everything has been entered correctly and then click the “Save” button.

STEP 4: Click on the Insurance link to enter in your insurance information. Click the “save” button.

STEP 5: Click on the Forms link to be taken to the online medical history form. Click on the form listed to open it. Fill out each section, using the “next” button to access the next section. If you have to stop before finishing, click on “Save” to save your changes. You can continue editing the form at any time by reselecting it from the Forms page.

NOTE: If you are NOT finished with the medical history and need to save and complete at another time. DO NOT click “Continue to Final Step”, click the “Save and Resume Later”. You will be able to return at another time to update and/or complete. Please keep your username and password available for return access. Click on this link to login again. https://commonwealtheyes.nextechweb.com/NexWebPortal514b/PatientNewUser.aspx?goto=GeneralDemographics.aspx

Step 6: When you are finished filling out the Medical History Form, click the “Continue to Final Step” button. Click the “Submit” button to complete the form. Once submitted, your medical history form will no longer be available for editing or viewing.

STEP 7: Click “log out”

Please rest assured that all information provided is kept confidential, secure, and HIPAA compliant.