Your patient portal

Request a portal account with Sample Community Clinic. The clinic reviews each request first.

Your appointmentsSee upcoming and past visits with the clinic.

Finalized visit notesRead visits and prescriptions after a clinician finalizes them.

Bills and payment codesCheck balances and scan the clinic's payment QR codes.

Patient registration

This creates a patient portal request. It cannot create a staff, doctor, or administrator account.

Fields marked with an asterisk are required.

First name

Last name

Date of birth

Portal accounts are for patients 18 and older.

Sex

Mobile or phone number

Digits with optional spaces or dashes, for example 0917 123 4567 or +63 917 123 4567.

You will sign in with this address.

Password

Password strength: Not set

Confirm password

I agree to the Terms and Privacy Policy.

Complete every required field to submit.

After you submit, you can sign in at any time to follow your approval status.