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+1.855.816.PALS (7257) [email protected]

EPIC EHR Patient Registration

Sign Up for Pill Pals by using the form below. You were referred by EPIC EHR via JuggernautSEI.

Sign Up For The Health Pals Company
    Strength: Very Weak
    Create A Strong Password (at least 12 characters, one Uppercase letter, one Lowercase letter, one Number, and one Special Character)
    Date Format should be MM/DD/YYYY

    For example, December 25, 2021 is 12/25/2021
    Please enter in Phone Number in the E.164 format that includes country and area code e.g. "+1XXXXXXXXXX" for United States.

    By checking the box above, I consent to receive an SMS text message to my cell number provided above for Customer Care, 2FA, Delivery Notifications , and Account Notification messages from The Health Pals Company (dba Pill Pals). I understand that I can opt-out of receiving text messages at any time by responding with STOP. I can reply with HELP to get help. Message frequency may vary. I understand that message and data rates may apply. See Health Pals's Terms of Use and Privacy Policy  for more information. Consent is not a condition of purchase.

    NOTE - Your One Time Passcode (OTP) will be sent to both your email and SMS Phone Number for your convenience
    Please enter in Phone Number in the E.164 format that includes country and area code e.g. "+1XXXXXXXXXX" for United States.
    Please enter in Phone Number in the E.164 format that includes country and area code e.g. "+1XXXXXXXXXX" for United States.
    *
    *
    Date Format should be MM/DD/YYYY

    For example, December 25, 2021 is 12/25/2021
    *
    *
    Were you referred by a friend? Enter their Name and Email Address in the box above.
    *

    By checking the box above, I am indicating that I agree to the Privacy Policy and Terms of Use of the Pill Pals website. In addition, I have read the Electronic Signature Consent Statement, HIPAA Authorization & Disclosure, and Disclaimer pages.

    How do you want to pay?

    Your currently selected plan :