Email
Password


Physician Signup

Let's get started

Please fill out the form below to create your new account. After signup, you will be sent an email with a link to confirm and activate your account.

* = Required Fields

Your Information


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Optional. If provided, this is included on each of your letters of medical necessity.

 

Login Information


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Enter your email address (you@someplace.com).


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Please confirm your email address.


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Minimum 8 characters.
Minimum 1 special characters.
Password is case sensitive.


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Please confirm your password. Password is case sensitive.

HIPAA Compliance


LMNBuilder.com is 100% HIPAA compliant. If there is a need to omit clients' last names to comply with your organization's internal policies, check the following:
Please omit my clients' last names.

Your Workplace














Can you use this in a country outside of the U.S. or Canada? Please contact us.








Optional, but recommended.


* = Required Fields