Register - MyEvigils

Create Your eVigils Account

Please complete the form below and press Submit at the bottom. You will very quickly receive an email with instructions how to download the eVigils app and stay connected with health care providers.

Join-code-1

Data Privacy: eVigils provides a unique means for enabling patient-provider communications, compliant with the 1996 Health Insurance Portability & Accountability Act (HIPAA). HIPAA protects your personal health information (PHI). No PHI is stored on this site.

Provider Information

Pick your provider from the dropdown list. Tip:You can type the first letter in practice name, then hit that letter to scroll through. Some providers may be listed by their first name. If you cannot find your provider, enter their name in the Other Practice field.

Practice I would like to communicate with:

Pick the provider organization you wish to contact from the dropdown list. If you cannot find your provider organization, please complete the Other Practice information below.

Your practice not listed? Check the box and then enter your practice info below

I don't see my practice organization

Other Practice Info

Other Practice *

Other Practice Address

Address Line 2

Other Practice City *

Other Practice State *

Other Practice Zip

Your information

FirstName *

Middle Name

Last Name *

Mobile Device *

Android

Apple

Date of Birth *

Birth Sex

Male

Female

Unknown

Other

Medicare Beneficiary Identifier (MBI)

Email *

Phone *

Street Address *

Street 2

City *

State *

Zip *

Password *

Eight characters minimum One lowercase letter One uppercase letter One number One special character

Please enter a password of your choice. Length must be at least 8 characters long and must include an uppercase letter, a lowercase letter, a number, and a symbol.

Confirm Password *

Comments/Questions

If you are human, leave this field blank.