Pediatric Associates of Whidbey Island (PAWI) is pleased to offer a patient portal
Your e-chart will be accessible wherever and whenever you need it
The portal will allow you to login and:
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Securely connect with PAWI online
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Securely message our triage nurse and referral coordinator
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Access your child's immunization history
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Access your child's current prescriptions
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Access your child's past and present appointments
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Access your child's vital signs (height, weight & blood pressure)
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Access your child's instructions and summary of visit
***Please note that for children age 12 and over the portal access will not be given due to state regulations for protected information***
I, (print name) authorize PAWI to enroll my child(ren) in patient portal.
Signature Relationship Date
Primary e-mail Primary Phone
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Please list all the children under the age of 12 that this e-mail address access will apply to:
Child name Date of birth
Child name Date of birth
Child name Date of birth
Child name Date of birth
