A secure online patient health management portal for patient and payer/provider communication, documentation and improved workflow efficiency. A payer/provider portal provides patient and file management, patient tasking and reminders, calendaring, creation and management of medical condition templates, aggregate report generation and electronic informed consent. A patient portal provides personal health management, task management and reminders, comprehensive access to and management of health records and documentation, calendaring, online payer/provider and institution communication, prescription and finance management and discussion forums.