New Patient Portal Access Request
**This Patient Portal Access Request is for patients who do not have a Patient Portal account setup** 
If you already have a Patient Portal account and need help resetting your password click here

If you already have a Patient Portal account and want to log in click here
To have a new Patient Portal Account setup, complete the Patient Portal Access Request form below. Your request will be processed within 2-3 business days.  Once the request is processed, your login credentials will be emailed to you.

Thanks for submitting!

If you do not hear back in 3 business days, please contact our Business office at 336-274-6515

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