1. Verify that your computer and browser meet the system requirements.
  2. Follow the instructions to download and complete the registration form.
  3. When completed, email the form to

What Will Happen Next

Once your practice manager has submitted the completed registration form and signed participation agreement, we will send a confirmation email to your designated site contact. We will begin the process of completing all of the necessary work to provide your practice access to PHINConnect and eReferral. Please allow 14 days for this to occur. We will send the site contact the information necessary to get started.