Step 1: Your Information

Please provide your details below. An email address and/or a cell phone number is required. Providing both is recommended.

First Name *

Last Name *

Email Address

Cell Phone

10-digit number for verification & reminders.

Date of Birth *

Sex *Select...MaleFemaleOther

Healthcare Clinic *Select your clinic...Portal Test Clinic - , Test Clinic Online Billing - Regina , SK

Password *

Minimum 8 characters.

Confirm Password *

Continue to Verification