Mybothwellhealth.brhc.orgtemplatesselfsignupCreate an account: Welcome To Your Patient Portal 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information in the designated fields, including your name, date of birth, phone number, address, and email address.
  3. Indicate whether you are 13 years or older by selecting 'YES' or 'NO'.
  4. If you wish to authorize a proxy to access your patient portal, fill in their details such as name, date of birth, phone number, address, and email address.
  5. Provide your relationship to the proxy in the specified field.
  6. Review the authorization statement carefully before signing. Ensure that both you and your proxy sign and date the form where indicated.
  7. If you choose to decline access to the patient portal, check the box provided for declining enrollment.

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The staff will request your email address, and may have you complete a consent form. Within 30 minutes, you will receive an invitation with a link to enroll. Just click on the link and follow the instructions to complete your enrollment. Some facilities are providing onsite account creation during your stay.
Activate Patient Portal After the practice invites the patient to the Patient Portal, the patient receives an email invitation to activate their account. In the email invitation, the patient clicks Get Started. The Patient Portal create account page opens. The patient creates a Password and enters their Date of Birth.
Toggle between family members by clicking on your name in the upper right hand of the portal and selecting your family members account. To obtain access/set up portal accounts for your spouse, children, or other loved ones, complete the Proxy Request form that can be found on the link below.
The username and password method is the default login method. Enter your username. Enter your password. Select Log In.

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