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Middlesex Health Sign Up Information

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Your Name

 First Name, Last Name

Your Address

 Home Address, City, State, Postcode, Zipcode

Post-Registration Data

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This site did not show evidence of storing passwords in plaintext.

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Middlesex Health.

We apologize for the delay in responding to your email, but thank you for your interest in the hospital patient portal. Upon review of your account activity you have not had an inpatient stay from July 1, 2014 or forward; only patients with an inpatient hospital stay after that date are eligible to sign up for the hospital portal. We will, however, keep your information on file and send you an invitation when additional outpatient features become available. If you are experiencing an issue with or are interested in signing up for one of the following physician office patient portals please contact the appropriate group: MH Family Medicine, MH Primary Care, MH MultiSpecialty Group or MH Surgical Alliance.

On Sat, Nov 30, 2019 at 10:14 AM <> wrote:

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

Middlesex Hospital Patient Portal Team

Middlesex Hospital
28 Crescent St
Middletown, CT 06457
fax: 860-358-6503

Middlesex Hospital Logo

If you have received this message in error, please notify Middlesex Health by sending a reply email to the sender or calling the Middlesex Health Privacy Office Hotline at 860-358-4630 and then delete this email and all attachments.

The information contained in this email and any attached files from Middlesex Health are confidential under federal and state law and are intended only for the person to whom they are addressed. If you are not the intended recipient, you are hereby notified that any inappropriate use or reproduction of the information is strictly prohibited and may subject you to civil or criminal penalties.
First name
Last name
Home address
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Do You Have Your Medical Record Number?
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Data Name Data Type Options
First name   Text Box
Last name   Text Box
Email   Text Box
Home address   Text Box
City   Text Box
State   Text Box
Zipcode   Text Box
Gender   Text Box
Gender   dropdown Select one
Phone   tel
Do You Have Your Medical Record Number?   dropdown Select one

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Comment by: admin
Comment on: 01/09/2020