Patient Portal

Access Your Patient Resources

Causeway uses CharmHealth for patient registration and portal tasks, and Spruce for secure clinical communication.

CharmHealth Patient Portal

Use your CharmHealth account to complete assigned registration forms and questionnaires, review information made available by the practice, and complete payment-related steps as directed.

Open CharmHealth Patient Portal

New to the Portal?

You will receive an invitation during registration. Follow the invitation instructions to create your account and complete the assigned steps.

Contact Causeway if you have not received your invitation or need help accessing your account.

Secure Messaging Through Spruce

Existing patients should use secure messaging through Spruce for clinical questions, medication requests, and other patient-related communication.

Routine Medication Refills

Request refills at least five days before you run out. Requests are processed during business hours and may require a follow-up appointment or monitoring.

Response Times

Causeway generally aims to respond to routine messages within one business day, but response time is not guaranteed. Messages are not continuously monitored.

Need Help?

Call (252) 659-5133 for assistance. Please do not send passwords, payment information, or medical details through the public website form or general email.

Not for Emergencies

For immediate danger, call 911 or go to the nearest emergency department. For suicide or emotional crisis support, call or text 988. Do not wait for a portal or messaging response.