Register for E-Doc Complete Care

Username

This is what you will use to sign in. Your username must be 6-16 characters. Only alphanumeric characters, underscores (_) and periods (.) are allowed.

Password

Confirm Password

Patient Information

First Name

Middle Name

Last Name

Date of Birth

Sex

Contact

Phone Number

Address

Address 2

City

State

Zip

Insurance

Do you have either insurance or an insurance alternative?

Yes

Insurance Carrier Name

Group ID

Member ID

By submitting your contact information, you authorize eDoc Copmlete Care to send you electronic communication (email or text) which may include unencrypted protected health information. Without this authorization, we are unable to send you alerts regarding your membership or access links to our Hint Patient Portal to manage your membership.

Register for E-Doc Complete Care

Patient Information

Contact

Insurance

Have Questions?

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