Time remaining to complete the registration process: . Should you need more time, a new confirmation code will be generated to continue.
Step 1 of 13

Notice

In order to register, you must
agree and accept the
Terms of Service
Privacy Policy
HIPAA Authorization
Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Getting Started

Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Notice

Select the State where you reside

You must be at least -- years old to register and have a smartphone or private email address.
You will also need your insurance information handy, if applicable.
Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Method of Contact

Choose your method of contact

Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Verify Method of Contact

An email message has been sent
to your selected email address

Did not receive? Resend

Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Verify Method of Contact

An text message has been sent
to your selected phone

Did not receive? Resend

Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Name

Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Address

Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Personal

Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Identity

Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Confirm

Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Create Login

Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Status

Privacy | HIPAA | Guaranty
©2023 ClipboardMD

Identification

The Healthcare Providers you select may require the presentation of some form of Identification at your first visit. Uploading an image of your ID here may save time at check-in.
Privacy | HIPAA | Guaranty
©2023 ClipboardMD
Modal title
OR
Send text with link to your cellphone to upload the image using your camera.
Select Phone
Page