Register

Registration is only required if you do not have a username. Please check your spam & junk mail folders to ensure you have not already received an email with a username and password. If you already have a username log in here

Each account must have a unique email address associated with it. Please contact us if you need multiple accounts with the same email address (i.e. related family members).

After completing the registration, schedule an appointment by clicking on the calendar icon to select a date, time, and service.

You can also send me a secure message by clicking on the Mail icon to let me know a little about your situation and why you are seeking my services.

Patient Information

/ Middle Initial

( optional )
 
( for Text Message Reminders )


Emergency Contact

First Name
Last Name
Phone
Mobile
Relation
Email

Log in Details

( If patient is a minor, the legal guardian must enter their email address below. )



Between 8 and 40 letters and numbers