Below is a sample of the emails you can expect to receive when signed up to Middlesex Health.
Patient Portal Registration Request
Name Joshua Clark Date of Birth 05/05/1997 Gender Male Phone Number 555-654-6589 x87987 Email Address @ Medical Record Number (MRN) Clark Address Not provided
| Data Name | Data Type | Options |
|---|---|---|
| First name | ||
| Last name | ||
| Home address | ||
| City | ||
| State | ||
| Zipcode | ||
| Gender | ||
| Gender | Select one … | |
| Phone | ||
| Do You Have Your Medical Record Number? | Select one … |