Register with Body, Mind, Spirit- Direct Primary Care

Welcome to the Body, Mind, Spirit- Direct Primary Care registration page. To register as a new patient, please enter your information in the fields below. Please do not use this form if you are already a patient (you have seen any of our practitioners in the past). To set up patient portal access or amend your information, please contact us.

If you are already a registered patient with online access, you can log in here

If you are interested in adding children ages 0-17 to your membership, you may create accounts for each one, or as an alternative you can add them to the Patient Agreement form.  This form can be found in the Patient Portal once your registration is complete. 



Basic Contact Information

Date of Birth *

Your Address

Contact Information

Contact Preferences

Emergency Contact

Medical Information

Please enter your basic medical information below. You may also add or edit this information after you've signed up.

Set Username and Password for Patient Portal

Please create a username and password that you will use to log into the Patient portal in the future.

Your username must be at least 4 characters long

Your password must be at least 8 characters long and include at least one number or special character.

The patient portal gives you access to your medical records and lets you securely communicate with our office. When you sign up, you will receive an email with instructions for logging in.

Sign with mouse or finger:

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