Patient Portal Request

Fill out the Patient Portal Request form on this page to begin the process of accessing your Patient Portal. Once you fill out the form, we will contact you with your login request information. If you have any questions concerning your registration process, you are welcome to call our Patient Care Reps via phone at (205) 332-3160  and ask for them to help you with the registration process.

Do you already have a patient portal account? Click here to access it!

Patient Portal Request Form


This helps us prevent spam, thank you.

If you would like to learn more about our patient portal click here!