User account

Account information

E-mail: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Password: *

Confirm password: *

Provide a password for the new account in both fields.

Select Your Role

I certify that I am:

I want to subscribe to:

(It's free!)

First Name: *

Last Name: *

Suffix:

M.I.:

Degree:

Physician NPI:

If you are a physician practicing outside the US, please enter all zeros

Primary Speciality:

Secondary Speciality:

Office Address:

Suite #:

City:

State:

Zip:

Phone #:

Best # to reach you in case we have questions

Fax:

Website:

If you have one

Notes:

Please tell us why you want access to patient data and how you plan to use it.

Choose Your Doctor

Participating WellApps Physicians (PWPs) can access their patients' symptom logs in real-time. If you would like to grant your doctor access to your data, add them to your account here by searching for your doctor below. If your doctor does not participate, he/she can sign up for an account at www.wellapps.com

Join Dr. Daniele Poggio - Aqualibria.

Join Shafran Gastroenterology Center.

Participating WellApps Physicians:

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