PatientPortal Registration

The ChartMaker® PatientPortal is an online service that allows a patient to keep track of their personal medical information. It will also allow practices to share and receive information easily with patients. Please complete the following form to start the process of registering your practice with the ChartMaker® PatientPortal service. There is a fee of $29/physician, $15/NP, $15/PA per month.

The ChartMaker® PatientPortal fee is charged for every provider in the practice that is also using the ChartMaker® Health Portal for either e-prescribing, lab results, or Direct Messaging.

Complete this form and a STI Representative will contact you, via the email address you provide below, to complete the setup process, as well as provide information about enrolling for PatientPortal Training.

NOTE: This is a practice enrollment form. Each provider in your practice will be added to the PatientPortal accordingly.

If you are a patient that is looking to enroll on the portal, please contact your practice – DO NOT USE THIS FORM.

Fields marked with an asterisk (*) are required.


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