Cheney Ridge Family Medical Clinic

Patient Resources

Bryan Health MyChart – Easy Access to Your Health Information Online or through our App

You can use Bryan Health MyChart – anytime day or night – to:

• Message your doctor or nurse – this is a secure, quick and easy way you and your provider can communicate about your care
• View test results from our office and any Bryan Health location
• Request and schedule appointments
• Request prescription refills
• Request access to and view family health records
• And more!

Bryan Health MyChart Existing User Log On

Learn More & Sign Up for MyChart

Patient Forms

For your convenience, here are forms people often request as well as new patient forms you can complete before your appointment. Our staff will let you know which forms you should complete.

New Patient Forms

• Adult Health History (M5001)
• Pediatric Health History (M5010)
• Clinic Registration Record (M368)
• Consent to Treat and Verbal Authorization (M1150)

MyChart Proxy Access Forms

• Adult Granting Access to Another Adult (M2001)
• Adult who is Legal Guardian or Power of Attorney (M2002)
• Parent/Legal Guardian for Minor Child (M2003)
  

Medical Records

• Request for Medical Records

Payment Options & Financial Assistance

We accept most insurance plans including Medicaid and Medicare, as well as self-pay and credit cards.

To ensure in-network status with our office and providers, please check with your insurance company or call our office at 402-483-3885.

We also have payment plan options and financial assistance programs.

Online Bill Pay

For your convenience, we offer online bill pay. Please select payment option you prefer.

Pay Bill through
MyChart Account

Pay Bill through
Guest Pay

If you would like to talk to a member of our team, please call 1-877-577-9277 or 402-481-5791.