img PHONE: 704.541.9117 FAX: 704.541.9137
practice@brainrestorationclinic.com
  • Follow us:


Portal Messaging Policy

All messages submitted through the patient portal will be addressed by administrative staff only.  If you have medical questions that require physician time, you will be asked to schedule an appointment.  To help facilitate this, we offer brief 5-15-minute phone appointments at a reduced cost of $100.  These are strictly for brief follow-up questions, to discuss routine interval lab results or to touch base between your regularly scheduled office visit follow-ups. 

*******

Please note that a $100 fee will be charged for any cancellations made less than 48 hours prior to the scheduled appointment time. 

_____________________________________________________


** When uploading documents for review, please be sure that the document is in PDF format. If the document isn't in PDF format it will be rejected. This is done to ensure that our computer system continues to remain safe.**

Register with Brain Restoration Clinic

Welcome to the Brain Restoration Clinic registration page. To register as a new patient, please enter your information in the fields below. Please do not use this form if you are already a patient (you have seen any of our practitioners in the past). To set up patient portal access or amend your information, please contact us.

If you are already a registered patient with online access, you can log in here

Basic Contact Information

Your Address

Contact Information

Emergency Contact

Insurance Information

Note: Our practice does not bill insurance, but this information makes it easier for us to refer you for other services (like labs or specialists)

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 patient 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:

Contact MD HQ Technical Support
Patient Portal Powered by MD HQ, LLC © 2019