Please provide the following information to assist us in validating your identity
and establishing your user account (all fields are required).
I acknowledge and I am requesting electronic access to the Conifer Health Solutions
provider portal.
I understand that my access and any staff member's access is a privileged right
and I and my staff further understand the legal responsibilities we have to protect
the privacy of our patients from unauthorized use of protected health information.
We agree to protect our usernames and passwords and will not disclose them to anyone.
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