HOURS: Contact Us

Man Looking at Medical Record Portal Registration

If you are 18 or older, register to access your medical records
by completing and submitting the form below.
Please complete each form field.

Terms and Conditions:
  1. I understand My Page is intended as a secure online source of confidential information. I also understand that, while Pathways has made reasonable efforts to maintain the security of the source, as with all online information, the security of the source cannot be guaranteed.

  2. I agree that I will not share my user ID and password with anyone else. I understand that, if I give my user ID and password to anyone else, they will be able to access my information and my information will not be secure. I also confirm that I am the only one with access to the email address that I am using for the source and that email is secure. I understand that use of "My Page" is entirely voluntary and I am not required to use it.

  3. I understand that this consent will remain in effect until I provide Pathways with a written request for revocation.

  4. I hereby affirm that I am the client identified above. I understand that I may be subject to penalties by law for submitting false or misleading information related to this application for "My Page".

  5. I understand the information I provide on this form is used only to confirm my identity. Updates to this information will not be made in my medical record.

  6. By clicking submit below, I acknowledge that I have read and understand this and the "My Page" Terms and Conditions and I agree to the Terms and Conditions.

Using the email address submitted on this form, we will email your user ID and log-in password after validating your registration information.  Allow sufficient time for the validation to occur.  If we have any questions we will contact you either by phone or email.