Doctor Registration

Welcome to MySecurePractice

Please complete the following form to create an account
for MySecurePractice.

You will receive another email after submitting the form
to finalize the creation of your account.

Practice Information

Please provide your account information.

Create a User for your Account

Fill out the information for your login account.

(This will be your MySecurePractice login)

Choose Your Specialties

Select your specialty from the list below.