Fort Lauderdale Surgical Specialists, PA

YOU ARE ENTERING A SECURE SITE:

PLEASE FOLLOW THESE INSTRUCTIONS TO ENTER YOUR PERSONAL DEMOGRAPHIC INFORMATION. 

ONLY COMPATABLE WITH INTERNET EXPLORER AND YOU HAVE TO DISABLE POP UP BLOCKERS

DO NOT CLICK ON "NEW REGISTRATION" 

REMEMBER FOR PERSONAL MEDICAL HISTORY ONLY CHECK OFF THE POSITIVES THAT APPLY TO YOU BY CHECKING THE RADIOBUTTON THAT CORRESPONDS TO YES.

THANK YOU

INSTRUCTIONS 

DO NOT CLICK ON

"NEW REGISTRATION"

WHEN YOU LOG ON PLEASE FOLLOW THESE INSTRUCTIONS IF YOU SUPPLIED US WITH YOUR SOCIAL SECURITY NUMBER:

• YOUR USER ID - IS YOUR EMAIL ADDRESS YOU GAVE THE OFFICE
• THE PASSWORD IS generic (lower case)
• THE IDENTIFER IS YOUR SOCIAL SECURITY NUMBER OR ALTERNATE ID (UPPERCASE)
• CLICK ON SUBMIT AND THE REST IS STRAIGHTFORWARD