GATEWAY TO Introducing Gateway's New Member Portal 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the required fields, such as 'Member Name', 'Age', and 'Date of Last Screening' for members under 21. Ensure all lines are completed accurately.
3. Next, provide the 'Gateway Health ID Number', 'Parent/Guardian Name', and their relationship to the member. This information is crucial for identification purposes.
4. Continue by entering details about the Primary Care Provider (PCP), including their name, contact person, and phone number. This helps streamline communication regarding the member's health needs.
5. In the section labeled 'Member is being referred for the following', specify any referrals or services needed. Include relevant test results and dates where applicable.
6. Lastly, review all entered information for accuracy before submitting. Use our platform’s features to save your progress or share it directly with relevant departments.

Start using our platform today to complete your form quickly and efficiently!