Registration
In order to submit your patient's prescription online and to track their status, please register by completing the fields below.
Please send me status updates via email. As I have agreed in the Terms, I know that the Portal is not encrypted and emails are not secure. Emails are sent over the internet and may not be confidential. I agree to receive emails.
 
(Passwords must be a minimum of 8 characters and include: 1 lowercase letter, 1 uppercase letter, 1 number, 1 special character)
*Denotes this entry is mandatory.
WEBSITE ACCESS TERMS OF USE, HIPAA/BUSINESS ASSOCIATE TERMS OF USE, PRIVACY POLICY
 
*By checking this box, I attest that I am a licensed prescriber and agree to the Website Access Terms of use, HIPAA/ Business Associate Terms of Use, and privacy policy.