Patient Portal

MY Einstein Health Patient Portal is a free, secure, password-protected
website that gives you access to your Einstein Healthcare Network
Medical Records, including:

  • Your recent visits
  • Prescriptions
  • Past visits
  • Immunization records
  • Medical procedures and discharge instructions
  • Secure messaging to your healthcare provider

Click here to learn more information, including how to register.

Log into MY Einstein Patient Portal

Patient Care Forms

Coming Soon

Self-Assessment Forms

Coming Soon

Frequently Asked Questions
What happens when I check in? What should I be aware of?

Please arrive 15 minutes prior to your scheduled appointment time to meet with your care team.

Please be sure to bring your current medical insurance card, pharmacy insurance card, and photo I.D. with you for each visit.

When is my copay due? What types of payments do you accept?

Your copay is due upon check-in. Payment for all non-covered services is due at the time of service. We accept cash, personal checks, VISA, and Mastercard.

What is your cancellation policy?

All appointments must be cancelled 24 hours in advance of your appointment.

What if I arrive to my appointment late?

If you are late for your scheduled appointment, you may be asked to reschedule.

What should I do if I need a prescription refill?

Please, call your pharmacy first to request any prescription refill. They will notify us of your request. Only call our office if you require a written prescription or a prior authorization or medication per your insurance company. We will then require your name, date of birth, provider name, medication name, and dosage and quantity (either a 30- or 90-day supply).

Please note: Do not wait until your prescription is out before requesting a refill. We do not fill prescriptions after hours or weekends. If there is a problem with your request, we will contact you. It is best to ask for refills during your appointment or simply call your pharmacy directly. Finally, please specify if your prescription is mail order and allow up to 2 weeks to receive your refill.

Narcotics will not be filled on weekends.

How long do prescription refills take if I request them by phone?

All telephone prescription requests require 72 hours (3 business days) advanced notice to allow your provider time to review and approve your request. Messages received after 12:00 P.M. Friday are processed the following Monday unless the request is urgent.urgent.

What should I do if I need a referral?

We require 72 hours (3 business days) notice to complete a referral. If you need a referral, call our office and press prompt #4 and have the following information ready:


·       Your name, date of birth, and phone number.

·       The provider/facility name and NPI number.

·       The test or service being performed.

·       Reason you are having the service.

·       Date of your appointment.

·       Insurance name and ID number.


Please note: If you receive a Referral Order when you check out, you will still need to request an insurance referral. We do not fax or mail referrals.


If you have an emergency and require a same-day referral, please to speak to a member of our staff.

How long will it take to receive my test results?

Please allow 7-10 business days for our office to receive non-urgent test results and allow your provider time to review them. If it has been greater than 14 days and you have not heard from our office, please call and provide your name, date of birth, name and date of the test and where it was performed.

We are unable to release any results to you until the provider has reviewed them.

I need to request a form. What should I do?

Most form requests require an office visit with your provider.

Is my form request covered by my insurance?

Sports, driving and employment examinations are not covered by most insurance companies unless the visit can be combined with a covered Well Visit.

Are there fees for requesting forms?

Most form request have fees ranging from $5. - $65. Please contact our office to learn about specific fees.

Forms completed after the Well Visit service is provided are subject to the practice form fee.

How do I request a copy of my medical records for another provider or my own personal reference?

To have a copy of your medical records released, you will need to complete a Medical Records Authorization Request Form.  The copying of medical records is provided by Ciox. Please note: there is a processing fee for transfer of medical records. Please contact us to learn the schedule fees by calling our office.

What can I do to ensure safe, quality care for my child?

Always be sure to tell us about their health history, and any medications they are currently taking. It is also in your best interest to follow the care instructions offered by their provider. Be sure to keep your appointments and let us know if you need to cancel. Try to ask questions about their care if instructions aren’t clear and refer to the Einstein Physicians Philadelphia Financial Policy regarding fees that may be assessed. Avoid smoking, unauthorized drugs and substances that could interfere with their health.

What if I choose to discontinue my child's doctor/patient relationship?

If you and your child's provider are unable to establish a relationship of mutual trust, your treatment may be discontinued after you are given written notice. Or, if you chose to change providers, reasonable assistance will be offered to help you make alternate arrangement for their medical care.

What if I have an urgent medical issue?

For urgent issues during our normal business hours call our office to get a same- or next-day appointment. We offer extended hours Monday through Thursday and Saturday. Our Triage Nurses work with your primary care provider to answer and facilitate any questions you may have regarding urgent issues. Our Patient Service Representatives are available to take your messages should you need non-urgent advice from your primary care provider. For urgent issues after our normal business hours call our main office and speak to our on-call physician.

What is your pediatric to adult care transition plan?

Transitioning young adults who are staying within our healthcare network are given a new patient packet at their last pediatric visit which contains the following:

- No-Show Policy
- Financial Policy
- Release of Information Form
- Privacy Notice
- Registration for Patient Portal
- How to Obtain Care-After Hours Access
- Registration Form
- Patient Intake Form
- Patient-Centered Medical Home (PCMH) Brochure
- Welcome Map
- Information You Should Know Regarding Your Health Care Treatment as a Minor
- Patient Experience Document

Their existing patient record is updated based this information at the time of their first adult visit

Transitioning young adults who go either inside or outside our health care network are given the following information:

- Release of Information Form
- Transition to adult care letter from their provider
- A medical summary, immunizations, along with any medications and/or specialists related to their chronic condition, if any

The practice uses a monthly adolescent/young adult report to outreach to those existing patients, ages 12 to 17, which have not been seen.

Patients who do not show for their appointment are given a follow up call and letter that is noted in their record.

Patients who are seen by a health care provider are provided a visit summary, along with the age-appropriate, acute, and/or chronic management educational materials, and information on when to schedule their next visit.


Where to Find Us
Holland Pediatrics
Hours of Operation
Jefferson Health - Holland Pediatrics