If you are a patient and are experiencing issues with making a payment, please contact us using the button below.

Patient Account Registration

New Users: Create an Account
Creating an account will allow you to:
  • View your original balance
  • View any payments made
  • View any adjustments taken
  • View your current balance
  • View information for other service dates
From within your account you can:
  • Update your demographic information
    (address, phone number, email, etc.)
  • Update your insurance information
  • Set up recurring payments
Note: An account is not required in order to make a payment (simply click here to do so).



To create an account, please fill-in the following:
Email Address    
(This will be your username)
Password    
Confirm Password    
Passwords must be between 8 - 12 characters long, with at least one uppercase letter, one lowercase letter and one digit.
Security Question  
Security Answer  
Confirm Security Answer    
  If you experience difficulty creating an account, please contact us; a member of our Patient Advisory Team will be happy to assist you.
First Name  
Last Name  
Address  
 
City  
State
Postal Code     What is this?  Information
Country
Phone Number  -   -   
 
By checking below, I confirm and further represent that I am a patient, and I am creating this account to access my own information.
If you are an attorney attempting to access records of a third party, you must click Here.