Provider/Practice Services Activation

The form below will allow you to register for one or more of the following servces:

  • Electronic Prescribing (e-RX) – Effective 9/1/2022, SureScripts requires Identity Proofing for E-Prescribing (IdenTrust Pricing)
  • Direct Messaging (DM)
  • Electronic Prescribing of Controlled Substances (EPCS) – IdenTrust Pricing
  • Electronic Prior Authorization (ePA)
  • PatientPortal
  • Provider Complete

NOTE: Once you have submitted your enrollment, please be sure to check your email inbox for a confirmation with further instructions.