Patient Portal Request


Existing patients who have not yet obtained access to our Patient Portal must request an invitation to register. Please submit the required information below to request access to our Patient Portal.

Allow at least a 24 hour response time during business hours. If you need access sooner, please call (903) 315-2700 during our normal business hours.

NAME *

EMAIL ADDRESS *

DATE OF BIRTH *

LAST FOUR DIGITS OF SS# *