Create new account

Welcome to WA Portal!

To create a new My Portal user account please provide the required information below. After you complete the form, you will receive an email  from (usually within four hours). Check your spam folder before requesting assistance if you do not receive the email within 24 hours. You may need to add this address to your safe senders folder. 

Although My Portal provides a password-protected collaboration space, it is not compliant with HIPAA Privacy Rules,

A valid email address. All emails from the system will be sent to this address. The email address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by email.
Credentials will be listed after your name so please enter them as you would like them to be shown.
Enter the name of your primary organization or practice.
Please enter your job title.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.