Register with Holistic Health International, LLC

Welcome to the Holistic Health International, LLC registration page. To register as a new client, please enter your information in the fields below. Please do not use this form if you are already a client. If you are already a registered client with online access, you can log in here

Basic Contact Information

Your Address

Contact Information

Emergency Contact

Medical Information

Please enter your basic medical information below. You may also add or edit this information after you've signed up.

Set Username and Password for Patient Portal

Please create a username and password that you will use to log into the patient portal in the future.

Your username must be at least 4 characters long

Your password must be at least 8 characters long and include at least one number or special character.

The client portal gives you access to your medical records and lets you securely communicate with your doctors. When you sign up, you will receive an email with instructions for logging in.

Sign with mouse or finger:

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