Account Login
Must be entered in the format on the statement with no spaces. Example: ABC.A1234
The date of birth on file for the patient in MM/DD/YYYY format
The zip code on file for the patient
or
Must be entered in the format on the statement with no spaces. Example: ABC.A1234
The date of birth on file for the patient in MM/DD/YYYY format
The zip code on file for the patient
