Register with Santa Cruz Integrative Medicine

-To register as a new or prospective patient, please enter your information in the fields below.

-If you are an established patient who has set up a username and password previously, please log in here to access the patient portal to schedule an appointment or send a secure message.

-If you are an established patient who has never logged in, please call the office at 831-465-9088 or Contact Us.

Basic Contact Information

Date of Birth *

Your Address

Contact Information

Contact Preferences

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 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:

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