Sign Up - Digital Physician LLC

Hospice Chart EHR Sign Up

Sign up now and start using the system immediately. Experience the difference in mobility and ease of use. The data entered is secure and HIPAA compliant.

User Account (system administrator)

First name

Valid first name is required.

Last name

Valid last name is required.

Email (login id)

Please enter a valid email address.

Mobile Phone (numbers only)

Please enter your phone number.

Password (show)

Please enter a strong password.

Confirm Password (show)

Please confirm the password.

1 lowercase & 1 uppercase
1 number (0-9)
1 Special Character (!@#$%^&*)
At least 8 Characters

Hospice Agency

Hospice name

Valid hospice name is required.

Hospice NPI

Please enter a valid NPI number.

Phone

Please enter your phone number.

Fax

Please enter your fax number.

Hospice address

Valid hospice name is required.