Sign Up

About the sign up process and opening an account

With our account set-up process you're just clicks away from the most effective online record retrieval experience possible. You can order, track and review any medical records from anywhere in the world. Complete this sign up form, add additional users and you will be online ready to order. Your billing contact and the additional users you sign up will be sent an email inviting them to create usernames and passwords. As an account administrator, you will have access to all users for future access management.

Firm Details

Firm Contact Details

Firm User 1

Firm User 1 Login Details

Billing Contact Information

Billing Contact Name