Below is a sample of the emails you can expect to receive when signed up to Middlesex Health.
Patient Portal Registration Request
Name Joshua Clark Date of Birth 05/05/1997 Gender Male Phone Number 555-654-6589 x87987 Email Address @ Medical Record Number (MRN) Clark Address Not provided
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First name | ![]() | |
Last name | ![]() | |
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Home address | ![]() | |
City | ![]() | |
State | ![]() | |
Zipcode | ![]() | |
Gender | ![]() | |
Gender | ![]() | Select one … |
Phone | ![]() | |
Do You Have Your Medical Record Number? | ![]() | Select one … |