Register to Manage Your Programs Online

PatientPoint

Get easy, online access to your account

If you already have PatientPoint® programs in your office, please complete the form below to sign up for an online account. Once your account is validated, you will receive an email with login information. If you are unable to create an account, please contact one of our practice relations specialists at 1-800-284-8314 or email us at PracticeRelations@PatientPoint.com.

*Required

*First Name  First Name is required.Invalid format.  
*Last Name  Last Name is required.Invalid format.  
*Address 1  Address 1 is required.Invalid format.  
Address 2
City
State
*ZIP Code  ZIP Code is required.Invalid format.  
*E-mail Address  E-mail Address is required.Invalid format.  
*Phone Number  Phone Number is required.Invalid format.  
Customer ID (if available)