Request for New Patient Registration

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Complete All Fields. 

Provide in body of message:

1. Patient First Name
2. Patient Last Name
3. Patient DOB

You will receive an email from Charm EHR to register for our secure electronic health record. All patient communication will be through the patient portal. If you do not see the message to register, please check your spam folder! Once you are registered, please send a portal message with the subject Registered. You will be contacted by POMM Clinic registered nurse to begin the intake process.