Patient Portal

Tell us about yourself

This optional information helps us personalize your experience and find patient matches.

Account Information

Username

Email

Password

Confirm Password

Two-Factor Authentication

None

SMS

Email

Personal & Medical Information

Age

Gender

Zip Code

Disease/Condition

Planned Procedure(s)

You can mention one or more procedures, or describe what you are considering.

Phone Number

Preferences & Consents

Preferred ways of communication

Email

Phone Call

Text Message

Preferred virtual meeting platforms

Google Meet

Zoom

Microsoft Teams

Other

I prefer in-person meetings and appointments when possible.

I'm willing to join the CareBridge AI community and become a consultant for future users.

You can only become a consultant 6 months after your treatment.

I agree to share my name with matched peers.