- Fast, accurate, 24/7 on-line information for all key stakeholders in the Workers' Comp process
- Real-time access to patient data
- Sign up today to get started
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| * First Name |
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| * Last Name |
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* Access Type
Please pick an access type
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Adjustor
Employer
Nurse Case Manager
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| * Company |
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| * Street Address |
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| * City/* State/ *Zip |
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| * Phone |
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| Fax |
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| Account Credentials |
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* e-mail
The application will send you an e-mail upon successful confirmation
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* Password
Create a strong application password at least eight characters long including three of the four following types: uppercase, lowercase, numeric, and special characters.
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| * Retype Password |
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| Patient(s) |
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| Patient (1) |
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DoB
Format: (mm/dd/yyyy)
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| Patient (2) |
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DoB
Format: (mm/dd/yyyy)
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| Patient (3) |
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DoB
Format: (mm/dd/yyyy)
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Comments
Taking over for a different person? Additional patients you need to add?
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