Drs. Jill & Tom are out of the office taking time to relax and refresh. As we all know, the only way we can give our absolute best to others is to first care for ourselves. We'll be back in the office on January 21. In the meantime, our team is in the office during usual business hours to help you. Please note: most refills will be able to be handled quickly and easily. For any refills of controlled substances, these may take a little extra time due to prescribing regulations. Our team is here to help. We're excited for some R&R and to come back re-invigorated.

Register with Origins Of Health

Welcome to the Origins Of Health 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:

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