To enroll in WebView, you must be an established patient, provide us
with your email address, and pay the subscription fee. Enrollment in WebView is for one year. Your cost
will
be $75 for yourself or $125 for yourself and your family.
If you leave the care of Kachina Family Practice due to transfer or
dismissal, a portion of your payment will be refunded on a
pro rata
basis.
Enrollment Online:
Kachina Family Practice has a secure online credit card payment system. You can use our website to enroll yourself or your entire family online. You can also re-enroll in WebView using our website.
First time enrollment
If you wish to enroll in Web View, the link below will take you to our secure payment site. After your payment has been verified, you will be able to print a receipt of your payment. After we have verified your enrollment information, you will receive an email containing your user
name and password, and user instructions that will allow you
to begin using Web View.
Re-Enrollment
If you wish to re-enroll in Web View, the link below will take you to our secure payment site. After your payment has been verified, you will be able to print a receipt of your payment. Your user name and password will remain the same.
Enrollment by fax, mail or in person:
If you do not wish to enroll online, click on the following link. You can print the forms you will need and return them to us by fax, mail or in person.
Pay for WebView by Paper Form