Request patient portal access

Your Valley Arthritis Care Patient Portal has many convenient features to make your experience as a patient even easier! You can view records, request appointments, send a message to your Doctor, and more. To get started using the Patient Portal, fill out this form and a member of our team will e-mail you an invite to register!

Patient Name *

First

Last

Patient Date of Birth *

Reason: *

I would like to register to access my Patient Portal

Your Email *

Best Contact Phone # *

Your patient portal invite will be sent to this email address.

If we need to call you, do we have your permission to leave a voicemail?

Yes, please leave a voicemail.
No, please do not leave a voicemail.

I agree to the terms of use & privacy policy. *

By submitting this form, you agree to the Valley Arthritis Care terms of use and privacy policy.

Answer this question to help us combat spam & ensure you're a human *

What is 7+4?

Please enter your answer as a number. Thank you!