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I forgot my Username

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* Last Name:

* Email address:

* Date of Birth (mm/dd/yyyy):

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I forgot my Password

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* Username:

I have my password reset token

Please enter your information below so that we can locate your account. Your password reset token should have been provided by your practice.

* Reset token:

* Email address:

* Date of Birth (mm/dd/yyyy):

Please enter a valid date in the format (mm/dd/yyyy)

I do not remember any of my login credentials

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* First Name:

* Last Name:

* Email address:

* Date of Birth (mm/dd/yyyy):

* Zip/Postal code:

- Postal code

FRAUD WARNING

Any person who knowingly with the intent to defraud any medical agency by concealing and filing false information for medical care or treatment may be found to have committed a fraudulent act which is a crime and may be subject to criminal and civil penalties.

In order to reset your username or password, you should have setup your Patient Portal account with a valid email address. If you did not setup your Patient Portal account with a valid email address, you will need to contact your practice.

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