Physician/Designee Portal Registration

Please select the best description of your relationship with Children's Health:
I am a licensed provider who refers patients and view clinical information
I am a registered nurse or non-clinical portal designee that needs to view clinical information

Personal Information

Contact Information

Physician Designees Information

You may now designate personnel from your office to have view-only access to your patient list via the Children's Portal. To designate access to Children's Portal, complete the form by clicking the link to the right for your user(s). Re-authorization will be requested in 180 days to ensure your user(s) require access. Children's will initiate re-authorization.

Portal User Name and Password

Please allow us ten business days to verify your credentials and set up your account.
We will email your user name and password as soon as your credentials have been verified.
As a security measure, please provide us your answer to the questions below. If you forget your password, we will ask you these questions: