Portal Registration

Registration with an email address is required to begin using the NFPA Patient Portal.

You will receive an email once registration is complete.
You will be able to login, setup your password and complete the verification steps.
You must have a device with a video camera and microphone.
Read FAQ's here.

NFPA Patient Portal Registration Form
(Only to be used ONCE for Registration)
(Password Reset to be done from Login Page)

* Indicates required field

Email *

Phone Number *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please indicate if you would like to request a TeleHealth Visit for your previously booked appointment or for a previously booked upcoming appointment. You may suggest days, morning or afternoon, and we will do our best to accommodate you. *

Submit

By Clicking Submit I agree to Opt In to the NFPA Patient Portal.

NFPA Patient Portal Registration Form(Only to be used ONCE for Registration)(Password Reset to be done from Login Page)

NFPA Patient Portal Registration Form
(Only to be used ONCE for Registration)
(Password Reset to be done from Login Page)