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Hospital User
Authorized Agent / Guardian
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Young adults register here to become a Member and authorize access to your medical information.
Profile
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Must be 4 numeric digits
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Invalid character(s)
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Passwords must match
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Not a Valid Phone#.
Primary Address
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Must be a number
Please choose one of the following plans
MONTHLY PLAN
$1.35
/ month
Monthly Payment
24/365 Access
Little more than $1 per month
Cancel Anytime
Select
ANNUAL PLAN
$11.99
/ year
Annual Payment
24/365 Access
Save 15%
Cancel Anytime
Select
Credit Card Details
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required
Billing Address
Same as Primary Address
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