• UTAH Patient ID and Insurance Card

    After submitting your Photo ID and Insurance (if applicable), you will be directed to our full registration form.
  • Browse Files
    Drag and drop files here
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  • Browse Files
    Drag and drop files here
    Choose a file
    Cancel of
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancel of
  • Next Step....... Fill out Section 1 & 2, then SKIP to Section 6 to sign and finish.

    You will now be connected to our EMR portal. Fill out section 1 and 2 and then SKIP to section 6 to finish
  • After you are done, please call the clinic to let us know you have registered online.

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