Patient Registration

Having problems or questions about registering? Please contact us.

Your password must contain at least one letter, one number, and one symbol, and must be at least 6 characters in length.

A patient must be eighteen (18) years of age to use our site and services. If a patient is under the age of eighteen (18), the patient must have written consent from a parent or legal guardian and will be using our site and services under supervision. Absolutely no one under age sixteen (16) should access our site or services. If a patient is under the age of eighteen (18), he/she must fax a written consent from a parent or legal guardian to (866) 300-1976 in order to use our site and services.