The patient portal
The patient's side of Hero EMR โ and what staff need to support it: the portal tour, getting patients registered, sign-in help, booking, messaging, payments, records, letting family and caregivers help, and choosing what parents and guardians of teens see.
The patient portal
The patient's side of Hero EMR โ and what staff need to support it: the portal tour, getting patients registered, sign-in help, booking, messaging, payments, records, letting family and caregivers help, and choosing what parents and guardians of teens see.
Tour the portal: what your patients see
The patient portal is the patient-facing companion to Hero EMR — a separate site where your patients book and manage visits, message the care team, pay bills, complete pre-visit paperwork, and read their records. It carries your practice’s logo, colors, and name (set under Portal branding), so to patients it looks like your portal. On wide screens the sections run across a top bar. On phones, tablets and small laptops a bottom tab bar holds up to five: Home, Visits (Appointments), Messages, Records (Health Record) and Billing; Letters & Forms moves into the account menu when it doesn’t fit. The account menu (the round button with the account holder’s initials) shows who is signed in, then Profile, Notifications, Sharing & caregivers, Connected apps (only when your practice offers app connections), Sign out and Sign out everywhere.
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Home greets and orients.
The patient lands on
Welcome back,and their first name (on a child’s record, “Sofia’s care”), with one status line under it, for example “You have 2 things to do.”, “Nothing to do before your visit tomorrow.” or “Nothing to do right now.” One row of buttons follows:Schedule appointment(when online scheduling is on),Message care team(opens a new message) andMedications & allergies. Once a visit is booked,Your next visitshows the day and time in your practice’s time zone (with the patient’s local time when it differs), the provider, the location orVideo visit, aCheck inbutton inside your check-in window (or the join button for a video visit),View appointment, and aBefore your visitlist markedRequiredorOptional. -
One to-do list.
Everything else waiting sits in one
To dolist: forms from your care team (Review and sign), questionnaires (Start, with the due date and about how long it takes), and finishing the profile. It shows three rows, thenShow all. A past-due balance adds a line withPay. Follow-up visits your clinicians asked for appear as oneFollow-ups to bookrow that opens to each recommendation with aBookbutton. Later visits sit underAlso coming up. -
Profile holds the patient’s own record-keeping.
Profileis in the account menu. It is tabbed:Personal Info,Allergies,Medications,Health History,Pharmacy,Guarantor,Insurance,SetupandSettings. Three of those come and go:Health Historyshows only when your practice collects a history category this patient is allowed to answer,Insuranceonly when insurance self-service is enabled, andSetuponly while an orientation step is unfinished. Billing is no longer a Profile tab — it has its own page (see Portal payments), and old?tab=billinglinks redirect there. Personal Info autosaves as the patient types; the address ZIP code is validated on the spot — both here and during registration, only a 5-digit ZIP or 9-digit ZIP+4 is accepted (typos like a 4-digit ZIP are flagged immediately), which keeps the chart address clean enough to bill from. On first sign-in an orientation wizard walks up to seven setup steps — allergies, medications, health history, pharmacy, guarantor, insurance, billing — with health history, insurance, and billing dropping out when your practice hasn’t enabled them; if the patient skips it, Home shows aComplete your patient profilereminder with aGo to profilebutton — handy when you ask a patient to finish intake before a visit. -
One login can manage a family.
A single account can hold multiple patient profiles; when there’s more than one, a switcher appears in the header (on narrow phones, a
Viewingrow under it) listing first names, such as Maria (you) and Sofia. Under ProfileSettings, a Family section offersAdd MyselfandAdd Child(which creates a minor profile). On a child’s record Home reads “Sofia’s care”; someone helping another adult sees aHelping …chip that opensYour access. Adults can also let family or a caregiver help with their own portal — see Family & caregiver access.
Your next visit and one To do list; empty parts hide themselves, so two patients can see quite different home pages.Messages counts conversations with something unread (follow-up notices are not counted). Appointments counts everything still to do: visit checklists, questionnaires and forms to sign. Both show 9+ above nine. Payments & Billing carries a red ! rather than a count — it means the patient has a past-due balance. Pages no longer carry a banner counting tasks. The pre-visit checklist itself is driven by your questionnaire assignments — see the patient experience of paperwork.
Profile tab, and the matching orientation step — and switching off self-scheduling also hides Home’s Schedule appointment and the Appointments page’s Schedule visit. Check what your practice actually has enabled before telling a patient to “go to the Messages tab”; on some practices it isn’t there. On a phone, Visits in the tab bar is the Appointments page, while the Visits tab inside Health Record is past visit notes.
How a patient gets registered
Patients can receive an invitation from authorized staff in Patient Registration, or begin registration through the practice’s enabled new-patient website booking flow. The staff-side mechanics (status pills, the invite dialog, delivery channels, teen account modes) are documented in Patient registration; this section follows what the patient experiences from the moment the link arrives.
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The link arrives.
The patient receives the signup link by email, by text, or directly from your staff — the invite dialog can generate a
Portal signup linkwith aCopybutton for handing over in person. Invitations expire in 30 days; after that, staff useResend invite. -
They verify identity on
Complete Signup. The link opens the portal’s signup page. A new patient can correctFirst nameandLast name; a link to an existing chart keeps its name read-only. They confirm theirDate of Birth, then create credentials — an email and password, orContinue with Google/Continue with Apple. -
They walk the registration steps.
Registration collects insurance and personal details (teen flows add a parent step), then a review, and lands on a success screen showing their Medical Record Number and a
What’s Next?list. From there the orientation wizard in the portal tour takes over. - Abandoned signups can resume. A patient who created a login but stopped partway is routed to a resume-registration screen on their next sign-in — or staff can simply resend the invite.
Continue — the office will verify. They can type an insurer missing from the list, or use Send this photo to the office instead when a card cannot be read. The practice receives the information for review; continuing is not a coverage approval.Adults only in Admin → New Patient Funnel → Minors, the practice’s age threshold applies to website booking and the resulting signup flow as well as the intake form. The regular website booking widget asks for date of birth when needed. An under-age new patient cannot finish booking through a different website entry point.
Admin → Patient Registration.Parent-managed mode the parent does both; in Teen private mode the teen signs in and a parent or guardian email is collected separately for consent paperwork. Choosing or switching the mode is part of patient registration. What parents and guardians see of a minor’s visits that a clinician hid from them is a separate practice setting — see Teens & guardians.
Passwords, passkeys, and verification codes
Portal sign-in (Welcome Back — “Sign in to access …” with your practice’s name) is Email Address + Password + Sign In, with Continue with Google and Continue with Apple as alternatives. Depending on how your practice’s portal is configured, patients may also see passkey sign-in and a second-step verification code. While a sign-in runs, the page stays put and shows a Signing you in panel with its steps (for a password: Checking your password, Securing your account, Opening your portal); after a few seconds it adds “Still working. A slow connection can take a little longer.” Knowing the patient’s-eye view here is what lets your front desk troubleshoot “I can’t log in” calls quickly.
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Password recovery is self-service.
The
Forgot your password?link on the login page emails the patient a reset link, sent to the email their portal sign-in uses (which can differ from the chart email). Staff never see or set a patient’s password, but they can email a link to set one withSend sign-in link, and fix a wrong sign-in email withChange email(Change a patient’s sign-in email). -
Passkeys, where enabled.
On practices with passkeys enabled, returning patients get an automatic prompt (
Checking for your passkey… or start typing to sign in another way.) plus a manualSign in with passkeybutton. Patients add or remove passkeys under ProfileSettings→Passkeys(“Sign in faster with your face, fingerprint, or device PIN”), and, once profile setup is done, the account holder’s own Home offersSet up noworNot now(“You can add a passkey any time in Profile > Settings.”). Browsers without passkey support show a “not supported” notice — don’t promise passkeys on every device. -
Verification codes, where required.
Practices can require a second step at sign-in: the patient sees
Check Your EmailorCheck Your Phone, enters a 6-digitVerification Code, and tapsVerify and Continue. Helpers includeResend Code,Text me a code instead/Email me a code instead, andUse a Different Account. Where trusted devices are enabled, a checkbox offers:Trust this browser on this portal so you do not need an email code on every sign-in. -
Text-message codes are the patient’s choice.
Under Profile
Settings→Cell phone verification, the patient tapsAdd phone, verifies it withSend code→Verify, and controls the toggleText me a code when I sign in (you can turn this off anytime). SMS verification is patient opt-in — never forced by the practice. Verified numbers list masked, with aRemove numberaction. -
Signing out: this device or everywhere.
Sign out(account menu, orSign Outin ProfileSettings) ends the sign-in on this device only; the patient stays signed in on their other phones and computers.Sign out everywhere(“Also signs you out on your other phones and computers.”) ends them all. Other open portal tabs of that account lock at once, and the patient always lands on your practice’s own sign-in page, with a calm note saying why: “You were signed out in another tab.”, “… because this sign-in was ended on another device.”, “… because someone else signed in on this browser.” or “You were signed out after 30 minutes with no activity.” -
Idle sign-out.
The portal signs patients out after a stretch with no activity: 30 minutes unless your practice changes it. One minute before,
Still there?warns “To protect your health information, you’ll be signed out in … seconds.” withSign out nowandStay signed in. Activity in any of the patient’s portal tabs counts, and closing the browser doesn’t restart the clock. A practice administrator sets the time inAdmin → Security,Sign patients out of the portal after inactivity(5 minutes to 3 hours); patients already signed in get the new time the next time they open the portal. -
A reply being typed isn’t lost.
If a patient is typing a reply when their sign-in ends without them choosing to sign out (for example
Sign out everywhereon another device), the sign-in page says “Your reply wasn’t sent. Sign in to send it.” and, after signing in, the conversation shows the reply ready to send (attachments must be added again). ChoosingSign out, an idle sign-out, or someone else signing in on that browser discards it.
| Patient says… | What to do |
|---|---|
| “I forgot my password” | Point them to Forgot your password? on the login page — the reset link arrives by email. Or open Portal access and use Send sign-in link; the link works for one hour. |
| “The reset email never comes” | Their sign-in may use a different or mistyped email. Open Portal access, check Current access, and use Change email (Change a patient’s sign-in email). |
| “My signup link doesn’t work” | The invitation likely expired (30 days) or was never completed — use Resend invite in Patient Registration. |
| “It says an account already exists” | They originally signed up with Google or Apple. Tell them to use the matching Continue with… button instead of a password. |
| “The code never arrives” | Confirm the email on file matches what they’re typing, and have them try Resend Code or switch channels with Text me a code instead. |
| “I belong to two practices” | That’s expected — after authenticating they pick a practice and tap Open Portal. |
| “Google (or Apple) sign-in doesn’t work” | The portal says “We couldn’t open Google sign-in. Try again, or sign in with your email and password.”, or that it isn’t available on this portal right now. Have them try again, or sign in with their email and password. Closing the Google or Apple window simply returns them to the sign-in page. |
| “It keeps signing me out” | That is the idle sign-out. Stay signed in on the warning keeps them in; an administrator can lengthen the time in Admin → Security. |
| “I signed out on my phone but I’m still in on my computer” | Expected: Sign out is for this device. Use Sign out everywhere. |
Admin → Security.
How patients book, change, and join appointments
Portal booking is self-service direct booking — when a patient confirms a slot, the visit is created on the physician’s calendar immediately, marked as coming from the patient portal. There is no approval step and no request queue to work. Confirmation email and your reminder policies fire automatically (see Notifications).
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Pick the visit, provider, and time.
From Home’s
Schedule appointment(orSchedule visiton the Appointments page), the patient togglesIn-office visitorRemote visit, picks aPhysician— groupedSeen beforevsOther physicians— aLocationfor office visits, and a slot underAvailable Timeson a month calendar. Only physicians and visit types you’ve enabled for online booking appear; a physician with no virtual offerings shows “This physician does not currently offer virtual visits.” A booking link your staff sent with Ask the patient to book opens this page with the provider and visit type already chosen and, when staff gave a date, the calendar on that date with the note “Your care team asked you to book on or after …”. -
See the cost up front.
When visit billing policies apply, the confirm dialog states the money terms plainly — an amount required to hold the appointment, due before the visit, due at check-in, or billed afterward — or
Your care team will confirm pricing before the appointment.If pricing changes mid-flow the patient must review and confirm again. -
Confirm.
Confirm appointment(orConfirm reschedule) books the slot; on success the patient canAdd appointment to Calendar(an .ics download) andGet Directions. A slot grabbed by someone else fails safely:This time slot is no longer available. Please select a different time. -
Manage everything from
Appointments. The page leads withYour next visitand its pre-visit tasks, then waitlist offers, aQuestionnaires and formslist, later visits underAlso coming up, and history underPast visits. Every in-person visit has one address line withDirections(and the office phone). Each visit’sManagemenu holdsRescheduleandCancel visit(when only one is allowed it shows as its own button). Cancelling shows aCancel this visit?dialog with a refund/fee preview,Keep appointmentandConfirm cancellation; rescheduling reuses the scheduling screen. -
Join telehealth from the portal.
Confirmations and reminders for video visits include a Hero join link. In the portal, virtual visits show a
Join video visitbutton that activates 15 minutes before the start time and stays open for about an hour after. If required pre-visit tasks are incomplete, the button readsComplete previsit to joininstead. The clinician side of the video visit is covered in Run telehealth visits. -
Check in on arrival.
For an in-office visit, the
Your next visitcard on Home and onAppointmentsshowsCheck-in opens at 9:30 AMahead of time and aCheck inbutton inside your check-in window; afterwards it readsChecked in ✓with the time, and your front desk sees the patient arrive. Unfinished pre-visit tasks, or a required payment, come first. See Online check-in.
Appointments tab manages what’s booked — pre-visit tasks, cancellations with a fee preview, and reschedules.Follow-ups to book row on Home and Messages, opening to each recommendation with a Book button (see Schedule the follow-up), and waitlist offers appear on the Appointments tab under Active Waitlist with Claim this time / No thanks (see Waitlist).
Prevent this patient from self-scheduling on their Appointments tab.
Message the care team — and where it lands
Patients read and write secure messages under the portal’s Messages tab — “Conversations with your care team.” followed by your practice’s reply-time notice, which also shows at the top of New message and under the reply box — with a New message button and a By topic | All in one switch. Every message a patient sends arrives in your clinician Inbox, routed by category, so nothing depends on someone remembering to check a separate system.
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The patient composes with structure.
New messageasks who it is to (Select a physician...opens theSelect Physicianpicker), then, depending on how your practice routes messages, aMessage type(ClinicalorBilling support), “What is your message about?” with your practice’s own categories, or no choice at all.UrgencyisRoutine(the default) orUrgent. The subject is optional; they write the message, canAdd attachment, and pressSend(a greyed-out Send says what is missing). Attachments upload before the message is sent. If an upload fails, the message is not sent; the patient keeps the draft and attachment to retry. A reply can consist of an attachment alone. -
It lands in your Inbox by category.
Clinical messages arrive in the Inbox’s
Patientfolder; billing questions arrive inBilling. Opening a thread shows the conversation and reply box on the right, with linked visit context available on the left. UseSend to portalto reply securely. Triage, forwarding, and reply mechanics live in Inbox threads; AI-drafted replies in AI responses. -
Two ways to read:
By topicorAll in one.By topic(the default) lists one row per conversation with an unread dot, aSearch by subject or namebox, theFollow-ups to bookrow at the top, and automatic follow-up notices grouped into oneFollow-up noticesrow at the end.All in oneshows one chat-style stream for the selected family member, newest at the bottom: messages from every conversation (each labelled with its topic) mixed in time order with visits, lab and imaging results, letters and forms, statements sent and documents, each opening its own page. The gear menu,Show in All in one, turns those kinds on or off (Saved on this device). The patient can reply right there:Replying topicks the conversation (the newest one to start), thenUrgencyandSend; to attach a file they open the conversation. The portal remembers the patient’s choice of view on that browser. There is no practice setting for it. -
Patients tune their own alerts.
Under the account menu’s
Notificationspage (“Choose when we send email, text, and push alerts. Full details stay in your secure portal.”), patients control email, text, and push alerts (Messages from your care team, reminders,Quiet hours). Notification emails are alerts only — a privacy point patients often ask about.
Patient folder, with thread history and a reply box. The current send button reads Send to portal.Urgent is a triage flag, not an emergency channel. The portal is not monitored in real time. Choosing Urgent shows “Your care team reads urgent messages during office hours. If you are in danger or badly hurt, call 911. If you are thinking about hurting yourself, call or text 988.” with buttons to call 911 or call or text 988, every portal page ends with “Need help now? Call or text 988 any time. In danger, call 911.”, and a conversation with an urgent message keeps a reminder at the top. Still make sure your patient-facing materials say emergencies go to 911 or urgent care, not a portal message.
Follow-ups to book row and the Follow-up notices row, and the Messages badge doesn’t count them. Opening All in one marks the conversations whose unread messages it shows as read, so the badge can clear even if the patient only scrolled past a message. And if your practice runs membership-gated messaging, new clinical messages can be blocked by the membership policy — with the explanation shown inline — while billing-support messages still go through.
How patients pay their bills
Patients reach billing from the Payments & Billing tab (Billing in the phone tab bar), or from the Pay button on Home’s past-due line. It leads with the Account balance and a Pay balance button, a snapshot rail (past due, due soon, Open charges, “Secured by Stripe”), and a Transactions view split across Open / Pending / Paid tabs, with an Insurance tab alongside. This section covers the patient-side checkout only — staff-side balances, statements, and collections live in Patient AR.
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Pay a charge.
Pay chargeshows theAmount dueand aPay withchoice betweenSaved cardandLink or new card, plus anExpress checkoutrow (Apple Pay, Google Pay, Link, or card) — all powered by Stripe.Charge detailsitemizes theOriginal charge,Paid so far, status, and provider so the patient can see exactly what they owe. A charge still with insurance reads With insurance · Nothing due yet rather than a $0.00 amount, and a bill reads Amount due until the patient has paid part of it. A share the primary insurer assigned to the patient while the visit’s secondary claim is still pending isn’t due yet and can’t be paid online while that claim is pending: its invoice reads Pending other insurance · $10.00 with no due date (the detail says Pending other insurance), and its charge card reads Waiting on {payer}. When that is all the patient has, the page reads “Nothing is due now. $10.00 is waiting on your other insurance.” and the action card Waiting on your other insurance — “$10.00 may be due after it processes your visit. Nothing to pay now.” A page left open from before is refused before any card is charged (“Nothing is due on this charge yet — it’s waiting on {payer}.”), andPrint current statement / Save PDFlists the share as Pending other insurance, outside the total due. For a minor, what a parent or guardian sees on a billing line can also depend on the practice’s teen settings (Teens & guardians). -
Store a card for pre-visit billing.
Add a cardsaves and authorizes a default card — this is the card your visit billing policies charge against for holds and pre-visit payments. The patient sees “Securely stored for next time.” -
Review history and statements.
Lower on the page,
Payment historycollects payments, refunds, and in-progress billing updates automatically, andStatementskeeps anything the practice has sent available for reference. -
Manage a membership, if your practice offers one.
Practices with recurring plans get a
Membershipsection with enrollment,Billing history,Invoices, payment-recovery prompts, and aCancel membershipflow that asks for a reason. The office can also text or email the patient an enrollment or payment link that opens this page (the patient signs in first). Plan setup and the staff-side view are owned by Memberships. -
Extras your practice may switch on.
If the practice requires a membership agreement, the patient sees
Review and signbefore enrolling and can reopen signed copies underMembership agreements. An eligible self-pay charge can showHave a discount code?when coupon codes are allowed in the portal (Discounts & coupons), taxable account charges listSales taxseparately (Sales tax), and a balance on a payment plan shows itsPayment plan schedule(Payment plans).
Online payments are unavailable. The charges patients pay here are the ones produced by encounter charges and your billing policies. Every checkout is labelled Encrypted ยท PCI-compliant via Stripe. Only a practice that does not offer saved cards also shows “This practice does not retain saved cards.” — don’t repeat that line to patients if your practice keeps cards on file for visit holds or payment plans.
Cancel this visit? dialog (see Booking & visits), not on the billing page — point patients there if they ask what cancelling will cost.
Under Membership receipts, patients can open receipts and review refunded, pending, and net-paid amounts. Refund requested on is the payment provider’s request date; Refund recorded on is the date Hero recorded a completed refund. Neither is a promise of when the patient’s bank makes funds available. If there is no supported date, the history says Refund date unavailable.
Records, letters, and documents patients can access
The Health Record tab is the patient’s window into the chart. Everything here is downstream of clinician work: signed notes, patient instructions, and orders published by Sign & close, plus lab and imaging results released to the chart (see Results in the portal) and documents from the Media tab. The page (“Your visits, results, imaging, letters, and files, all in one place.”) organizes it all under tabs:
Summary and Activity appear only while your practice has Patient health record download & sharing turned on; the page then opens on Summary, otherwise on Visits. They let patients read their whole health summary for chosen dates, download it or send it to another doctor, see who viewed or sent it, and ask you to limit who sees their information — see Health record download & sharing. Letters shows only while Letters & Forms is on.
Administrators can turn off Visit Notes separately under Admin → Patient Portal Configuration → Features and Save. It starts enabled and requires Health Records. Turning it off hides signed visit notes, summaries, and migrated practice notes while the other enabled health-record features remain available.
When a patient opens an archived document, the viewer explains that it is being retrieved. Wait and try again after retrieval; this message does not mean the record was deleted.
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Browse the visit history.
Visitsis a searchableVisit history. Opening a visit showsPatient instructions(“Care guidance from this visit”), theVisit note, the message exchange,Diagnoses, medications from the visit, and lab/imaging orders that deep-link to their own tabs. The instructions are the ones you drafted at encounter completion. -
Medications, as your team sees them.
Profile>MedicationslistsCurrent medicationsandPast medications. Each medication shows its full product name, including the release type, for example “Bupropion XL 150 mg tablet” rather than just “Bupropion”.Currentis everything in yourCurrent,ScheduledandOn holdgroups plus everything inNeeds review, because the patient may still be taking it. A prescription that ran out carries aRefill needednote. Anything else your team is reviewing carriesYour care team is reviewing. The new-patient medication step and the pre-visitReview your medicationscheck use the same grouping, labelledCurrent,Current · refill neededandCurrent · your care team is reviewing. How rows land in each group is explained in What counts as current. When your practice allows online refill requests, eligible rows carry aRequest refillbutton, and aRefill requestssection below the list shows each request’s status, your care team’s message, aBook a visitbutton when a visit is needed, andCancel requestwhile it is still pending — see What patients see. -
Pull in outside records.
An
Import recordsbutton opensImport Medical Records, where the patient searches for their outside health system and connects via Epic to bring external records into the chart. Availability depends on the outside system supporting Epic patient access, so set expectations accordingly. -
Request letters and forms.
Letters & Formsis the patient-initiated document desk.Request New Medical Form / Letterwalks Visit → Type → (Dates) → Review, with types includingWork Excuse Letter,School Excuse Letter,FMLA Form,Paid Leave Certification,Disability Form,Travel Medical Clearance,Accommodation Request, andCustom Form Upload(the patient uploads their own PDF).My Request Historytracks submissions, and aHow it workspanel explains the flow. -
You approve; they download.
Requests arrive in your clinician Inbox under
Forms/Letters(see Inbox queues) and in the patient’s Patient Information →Forms & Letters. The physician reviews the generated PDF, can quick-edit corrections, and approves with their saved signature embedded — or rejects with a reason. Staff with Forms & Letters access (front desk, medical assistants, nurses, office managers) can also review and release a request for the provider, and can enter a request for a patient who calls or walks in, which then shows in the patient’s list like their own (Forms & Letters). Completed documents then appear to the patient underLetters & Formsand Health Record’sLetterstab with view and download actions.
Pending Review to Approved.APCM Care Plan page (Goals, Interventions, billing history) reached from APCM surfaces on Home — it exists only when APCM is enabled for the practice (see APCM).
Profile → Personal Info → Request a correction to your record; see Record correction requests), share a link to a document kept elsewhere from the Media tab (Shared links), and connect a health app to their records (Connected apps).
Sharing & caregivers: letting family help
A patient can let a spouse, adult child, friend or paid caregiver help with their care — and a parent can ask the practice to add another parent or guardian for a child. Everyone uses their own login: nobody shares a password, and access always covers one person’s chart at your practice. The patient-facing page is Sharing & caregivers, reached from the account menu and from Profile Settings → Family. For a minor, what parents and guardians see from visits a clinician hid is set separately, in Teens & guardians.
| Situation | Who starts it | Before access begins |
|---|---|---|
| An adult patient wants help | The patient: Invite someone to help | The patient confirms their sign-in and authorizes; the helper signs in with the invited email and accepts. No staff approval. |
| A parent wants another parent or guardian added for a child | The parent: Request parent or guardian access | Your staff verify the adult’s authority and approve in Access requests; the adult then accepts the invitation. |
| An adult can’t manage the portal themselves | Your staff: Portal access → Caregivers & helpers | Staff record how the patient authorized it, or the representative’s proof of authority; the helper accepts. |
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The patient invites a helper.
Invite someone to helpwalks three short steps: who (name, the helper’s own email, relationship), access, and review.Appointments & messagesis always included;Also let them see shared health recordsstarts off and is the patient’s choice. Access lastsUntil I remove accessorUntil a date. For security the portal may ask the patient to confirm their password or passkey before sending. -
The helper accepts.
The email invitation expires after 7 days. The helper signs in — or creates an account — with exactly the invited email, reviews what was shared, confirms they are 18 or older, and taps
Accept(orDecline). A helper with no chart of their own goes straight to the patient’s portal, with aHelping …label so it’s always clear whose portal is open. -
The patient stays in control.
The patient sees Shared by you, pending invitations (with a separate email-delivery status), and anything Managed by your practice.
Change accessturns health records off immediately; turning them on sends the helper a request to accept.End sharingstops access on the helper’s next click. The patient gets a short email when a helper accepts, declines, changes or loses access. A helper can also chooseStop helping. -
Parents request; staff decide.
On a child’s portal, a parent taps
Request parent or guardian access. Nothing is sent to the other adult yet — the request waits inAdmin→Patient Registration→Access requests(the button shows a count). Review it, verify the adult’s identity and authority, tick the confirmation, record how you verified it, and approve: that sends the same parent or guardian invitation described in Patient registration. Choosing Unable to approve keeps your reason staff-only; the family simply sees “Unable to approve — contact the practice.” Pending requests for a child also appear at the top of that child’sPortal accesspanel. -
Staff can set it up for an adult.
For an adult patient,
Portal accessshowsCaregivers & helpers.Add helperasks who authorized it: Patient authorized (the patient asked you; they can end it from their portal) or Verified representative (you reviewed legal authority such as a healthcare POA or guardianship; the practice manages it). Record the evidence reference and reason — both are kept in the access history. Remove any helper withRemove accessin the same dialog.
| A helper can… | A helper cannot… |
|---|---|
| Book, change and cancel visits; message your team in their own conversations; see shared health records only if the patient turned that on. | Pay bills, change insurance or profile details, sign forms or consents, change the patient’s login or notification settings, join video visits for the patient, or invite anyone else. |
Patient portal configuration: Caregiver sharing (adults inviting helpers) and Family access requests (parents asking for another guardian). Both ship switched on. Turning one off stops new invitations or requests only — people who already accepted keep their access until it is ended. Approving requests and adding helpers needs the staff permission to manage patient portal access (front desk, office manager and owner role profiles include it).
| Caller says… | What to do |
|---|---|
| “The invitation link doesn’t work” | It expired after 7 days or was replaced by a resend. The patient (or staff, for a practice-set-up helper) can Resend it. |
| “It says the invitation is for a different email” | The helper is signed in with another account. They choose Use a different account and sign in with the invited email. |
| “I can’t see Mom’s test results” | Health records weren’t shared. The patient turns them on under Change access; the helper accepts the update. |
| “I asked for my ex-spouse to be added” / “my request is still waiting” | Check Access requests. A request is never proof of authority — verify before approving. |
Choose what teens and guardians can see and complete
A clinician can hide a visit from parents and guardians using Patient portal visibility in the note. The visit’s notes, summary, forms, documents, handouts, homework, and follow-up details then stay hidden from those representatives. The practice chooses whether additional chart data is visible, and how the appointment itself appears.
- Open
Admin → Patient Portal Configuration → Teens & guardians. Practice administrators and staff allowed to manage portal settings can edit this tab. Set each card’sApplies toage range where offered. Ages come fromScheduling → Organization → Minors. - Review the practice defaults. The table below describes a practice with no custom choices. Existing saved choices remain in force; check the values shown before advising a family.
| Setting | Choices and default |
|---|---|
| Results and chart data from hidden visits | Show or Hide for Lab results, Medications, Diagnoses, Vitals, and Billing details. Default: Show, for teens. |
| Teens completing questionnaires | On by default. A teen with their own active private sign-in can complete questionnaires, including ones hidden from guardians. Off requires a patient-specific override. This does not permit consent signing or other forms. |
| Appointments from hidden visits | Generic appointment or Hidden. Default: Generic appointment, for all minors. |
| Questionnaires from hidden visits | Show or Hide for guardians. Default: Hide, for all minors. This is separate from the teen’s own questionnaire access. |
| Questionnaire answers in progress | Shared or Private. Default: Shared, for teens. |
| Homework check-ins | Full, Status only, or Hidden. Default: Full, for teens. |
Restricted appointments show logistics
With Generic appointment, a guardian sees an Appointment card with the date, time, and location, followed by Contact the practice to manage this appointment. Visit type, clinical notes, forms, and self-service appointment actions are withheld. With Hidden, the appointment is omitted. New notifications and calendar exports follow the access policy; previously delivered messages and downloaded calendar files cannot be recalled.
Private questionnaire drafts
Private keeps saved answers and photos with the person who started them until submission. Each office kiosk visit counts separately. When someone submits, other unfinished drafts and photos for that questionnaire are discarded. In the mobile app, typed draft answers remain on that phone; photos follow this setting. A guardian who cannot see an assigned questionnaire cannot complete it from their portal; an eligible teen can use their private sign-in, or staff can hand the office kiosk to the teen.
Save defaults or make a patient exception
Add an optional reason and choose Save teen & guardian settings. Change history records the change. In Admin → Patient Registration → Portal access, authorized staff can override a minor’s values under What parents & guardians see. Use practice settings removes the individual choices; Guardians see everything and Guardians see the least fill the guardian choices. Teen questionnaire access remains a separate choice.
Allowing more access than the practice default needs a reason. Save the patient change with Save; if a colleague saved first, reload before trying again. Overrides last until the practice’s adult age. These settings do not change staff chart access.
Change a patient’s portal sign-in email, or send a sign-in link
When a patient can’t log in because their portal sign-in uses an old or mistyped email, staff can change the sign-in email and email them a sign-in link to set a password. Correcting the email on the chart does not change the sign-in email; this does. Both are in the patient’s Portal access window.
- Open
Portal access. InAdmin → Patient Registration, find the patient and clickPortal access(the key icon) on their row.Current accesslists every portal account that signs in for this patient. A line such as Signs in with a different email than the chart: … means “Forgot your password?” emails go to that sign-in email, not the chart email. - Click
Change emailon the patient’s own sign-in (orUse chart emailon the warning line to fill in the chart email). The panel explains “… will sign in with the new email. Their password, chart access and history stay the same.” - Enter the
New sign-in emailand aReason for the change(recorded on the patient’s access history), for example Patient confirmed the correct address by phone. - Leave
Email a sign-in link to the new address so they can set a passwordticked and clickChange email. Hero confirms Sign-in email changed to … A sign-in link was emailed there.
Send a sign-in link without changing anything
Send sign-in link on any active sign-in emails that address a link to set a password and sign in: “Sign-in link emailed to … It works for one hour.” It goes only to the sign-in’s own email. For an invitation the patient never used, the same window shows Invitation sent to … not used yet with Resend invite.
| Hero refuses when… | What to do |
|---|---|
| The sign-in belongs to a parent or helper | Only the patient’s own sign-in can be changed here; the parent or helper changes theirs. |
| The sign-in is also used at another practice | Send the patient a new portal invitation to the new email instead. |
| The new email’s domain doesn’t accept mail, or earlier mail to it bounced | Check the address with the patient (a typo such as hmail.com is common). |
| The email already signs in for another patient or practice | Use a different email. |
| The email has a separate sign-in that isn’t linked to any patient (often from trying “Sign in with Google”) | Confirm with Remove it and change email. |
Change email needs the same permissions as linking a portal account (patient management plus Manage patient portal access). Send sign-in link and Resend invite need patient-management permission. Physicians and administrators have both. A deceased patient is never emailed.Portal sign-in items in the Inbox
When a patient’s “Forgot your password?” can’t reach them, Hero files a staff item in the Inbox under Inquiries, labelled Portal sign-in, so someone can help. The subject says what happened: Portal password reset could not be sent, Portal password reset went to a different email, Portal password reset can’t reach the patient’s email, or Portal sign-in email bounced. The message names the chart (by MRN) and ends with What to do, usually Change email as above. A reply goes to the email the patient typed.
Items close themselves once a later portal sign-in solves the problem, for example when the chart gets its own sign-in or the sign-in starts using the chart email. A closed item is marked read and ends with a line such as “Closed automatically: this chart got its own portal sign-in on … No action is needed.” Bounced or unreachable emails are never closed automatically; staff fix those.
Change the message in portal invitations
The wording of a single portal invitation (sent from Patient Registration or a new patient’s registration) is Hero’s standard message and can’t be edited: Welcome to Your Patient Portal, a Set Up My Account button, the 6-digit verification code, and the expiry date. What you can change:
- The look and sign-off of every patient email. In
Admin → External Providers → Email, theEmail templatecard (“Branding for automated patient emails — reminders, confirmations, follow-ups, and registration.”) setsHeader background,Header text,Buttons & links,Show practice logo, theSignature, andExtra footer lines(for example Se habla español and a phone number). UsePreview, thenSave template. The invite dialog notes when it uses it: From … using the practice template. - Your own wording, for many patients at once.
Invite patients to the portalin Communications sends each patient a personal sign-up link with a message you write (Invite many patients to the portal).
Weekly invitations for patients with an upcoming visit
Hero can invite patients who have a visit coming up but no portal account every week, without anyone sending invites by hand. Turn on Weekly portal invitations in Admin → Scheduling → Patient Notifications, on the Appointment reminders tab (off until you turn it on; it needs the same permission as reminder settings).
- Who gets one: every Sunday at 12:00 PM Pacific, patients with a visit in the next 14 days who have not set up the patient portal.
- Email first, then texts: the first invitation is the standard portal email above. Once a patient has had a portal invitation email, they get a text instead, up to 3 texts. Texts go out only between 8 AM and 8 PM practice time.
- Who is skipped: patients with no email on file, anyone invited in the past week, and patients who opted out of texts (for the text).
- What it sent: while it is on, the card shows Last 7 days: N emailed, N texted.
- Replies to the text: when a patient who still has no portal account texts back within 14 days (for example to say their email has changed), the text goes to
Inbox → Inquiriesfor your team to answer, even if your practice keeps other texts that can’t be filed on a chart out of the Inbox (SMS messaging).
Sign-up reminders after an invitation
When a patient was sent a portal invitation and hasn’t finished signing up, Hero reminds them for you. This is on for every practice; the Portal sign-up reminders switch is in the same card, under Weekly portal invitations.
- Which invitations: one sent from the patient’s chart or
Admin → Patient Registration, an automatic intake invitation, and a weekly invitation. Invitations from anInvite patients to the portalcampaign follow that campaign’s own reminder settings. - When: about 2, 7 and 14 days after the invitation went out, at most three reminders, between 9 AM and 7 PM practice time. Each one waits from the last message the patient got, so if someone on your team resends the invitation, the next reminder moves back.
- How: the first and third reminders are texts when your practice texts and the patient can get one; the second is an email. If a patient can’t get a text, they get an email instead, and the other way round. The text names your practice (and the visit date when one is in the next two weeks) with the sign-up link, the code and Reply STOP to opt out. A child’s reminder goes to the parent or guardian and names the child. The email is the usual invitation with Reminder: in the subject. The last text says when the link expires.
- When they stop: as soon as the patient signs up, when the invitation is cancelled, replaced or expires (30 days), when the chart email changes, or when the patient opts out.
- What it sent: while it is on, the card shows Last 7 days: N reminders sent. Each reminder also updates when the invitation last went out on the patient’s chart.
Find your patient portal address (URL)
Hero EMR does not show your practice’s patient portal web address on a settings screen. Patients reach it from the links in their invitations, reminders and portal emails, so they rarely need to type it. To see it yourself:
- Open
Admin → Scheduling → Paperwork Reminders. - Click
Preview messageon any step. The preview uses sample patient details, but “the practice name, branding and portal link are the real ones patients will see”. The link in the text message preview is your portal address.
The office check-in kiosk is the same address followed by /kiosk. If you want the address for your website or printed materials and the preview doesn’t show it, ask Hero EMR support.
Give both parents portal access to a child’s chart
Two parents or guardians can each have portal access to the same child, each with their own email and password. Nobody shares a login. Staff add the second parent; a parent can also ask from the portal.
- Open the child’s
Portal accessfromAdmin → Patient Registration(the key icon). For a minor it opens onParents & portal access(“Each person uses their own email and password. Invitations grant access to the same patient chart.”). - Click
Add parent or guardian. Enter theAdult's full name, their ownSign-in email, and theRelationship(Parent / guardianorLegal guardian). - Verify and record it. Tick I verified this person’s authority to access this patient’s portal. and fill
Verification reason(for example identity and authority checked by front desk). - Click
Send invitation. Hero says “Invitation queued. Access starts after the recipient accepts.” UseResend invitationorCancel invitationwhile it is pending.
Request parent or guardian access appears in Access requests for staff to approve (Family & caregiver access). Sending these invitations needs patient-management permission (physicians and administrators have it by role).How patients add more than one insurance card (secondary insurance)
Patients can add several insurance cards in the portal, for example a primary and a secondary plan, as long as Insurance Self-Service is on in Admin → Patient Portal Configuration (it is unless you turned it off).
- During portal setup. The Insurance Information step lists the cards on file. After the first card it offers
Add secondary insurance, thenAdd another insurance card. - Any time later. In
Profile→Insurance, the patient tapsAdd Insurance. - For each card, the patient can tap
Scan cardto fill the form from photos of the card, or type it in, and setsInsurance TypetoPrimaryorSecondary. Save checks coverage with the insurer when it can; otherwise the office reviews it.
Staff review each card and set the order claims use on the chart’s insurance (Insurance). A practice can also collect card photos in a questionnaire: a photo question with File the photo as set to Insurance card (filed under Insurance card) files it with the patient’s insurance cards.
Is health history part of the default new-patient intake?
Health history is a step in portal setup (orientation) that new patients complete after registering, titled Health History (“Surgeries, lifestyle, and family health history.”). It appears only when your practice collects at least one history category, chosen in Admin → Patient Portal Configuration → Features under Orientation intake.
| Category | Default |
|---|---|
| Past Surgical History | On for practices set up recently; off for older practices until turned on. |
| Social History (not asked on proxy accounts) | Same as surgical history. |
| Family History | On for every practice unless you turn it off. |
| GYN History (female or other sex only, never proxy accounts) | Same as surgical history. |
The full setup sequence is Allergies, Medications, Health history, Preferred pharmacy, Your doctors, Who pays for your care, then Social Security number, Insurance and Payment method when your practice uses them. Patients can catch up or correct their answers later in Profile → Health History. Past medical problems and screening questions are not part of this step; send them as questionnaires (questionnaire rules).
Need help? Email support@heroemr.com.