Create a Practitioner Account

Practitioner First Name *

Practitioner Last Name *

Business Name

Business Address *

City *

State *

Zip/Postal *

Phone * (numbers only)

NPI #

Email *

Confirm Email *

Where did you hear about Hands Heal EHR?

Time Zone *

Contact First Name

Contact Last Name

Location Address

Contact Phone (numbers only)

Contact Email

City

State

Zip/Postal

Create/Update User ID *

Create/Update Password *

Verify Password *

* Required fields

Theraphy and Patient Charting