Registration

Help us avoid delays during your visit.  If not already done so, please register online to expedite your check-in process.

Registration through the NextMD.com Patient Portal is a fast and efficient way to get your medical care.

Alternatively, you can use the registration form below, and our staff will prepare your account before your arrival.

Disclaimer: Only the Patient portal complies with HIPAA regulations and is the most secured way to transmit your information. We take patient privacy seriously and use the latest technology to protect it. Using the free text form below is not a HIPAA approved mean of communication.  Nonetheless, we responded to our patients requests to create the form.  We do not take any responsibility for any form related usage issues.

1. Registration by Email – Recommended & Secured

Patient Portal Benefits

  • FREE to use
  • Direct communication with our medical staff
  • Receive copy of results as soon as they are reviewed
  • Appointment reminders
  • See and Update your health records
  • Request medication refills
  • Request appointments
  • Download your clinical history
  • Review and pay your statements securely

2. Registration Without an Email – Less Efficient

Fields marked with * are required

Gender
Phone number
Enter your full address
Pharmacy Name and Address
Enter all names listed on your insurance card
Any additional information (Preferred appointment times, special accommodations, etc)