First Name
Last Name
Email Address
Cell Phone
Username
8 characters; letters and numbers only
Password
8 characters; letters and numbers only
Confirm Password
Clinic Code
If a chiropractor in your office has already joined MyChartsOnline, you will receive a discount on the monthly fee.
The Clinic Code was sent in a welcome email to the first person in your office who
registered.
If you do not have a Clinic Code, please leave this blank.
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To view the Terms and Conditions,
click here.