If you would like to be listed on the Family Patient website, you can set up an account by completing the registration form below. After your registration has been submitted, your account will become active immediately. (However, the information you submit will be reviewed and verified for accuracy by one of our staff members later, so please make sure you check all information before you submit your registration.) Please review the Terms and Conditions of Use of the Family Patient website before you register.
After your registration has been submitted, you will be emailed the Account Manager Login, which will allow you to add/update Patient Update Reports, and update your account information. A separate Visitor Login will also be sent to you and to everyone on the list of email addresses you provide in the Visitor Login box below, which will allow authorized Visitors access to your patient's private Update Reports.
Family Patient has services available to patients and families who need assistance getting their Update Reports posted, or who do not have access to an internet connection. Please contact us to find out about these services.
Before registering a patient, we highly recommended that you review the Demo Patient which will guide you through the features of the Family Patient website. You may also wish to review the detailed instructions for filling out this registration form.
The information you enter below will remain completely confidential, and will only be used for internal administration, contact, and verification purposes. Please read our Privacy Policy if you have any questions about the use of the information being submitted.