Registration

Welcome to AnywhereDolphin^tm.

This registration form is for doctors that either own Dolphin Imaging software or have received an invitation.

Please complete the simple form below to begin your Dolphin experience now!

What type of account are you creating?

I am a patient or responsible party.

I am a doctor. Either I own a Dolphin system or I received an invitation to create an account for patient records access.

Choose your sign in

Select a username that is between 4-32 alphanumeric characters and doesn't include any symbols or space characters. You will not be able to change your username once an account has been created.

Username

(required) (Username already taken)

Select a password that is 8 or more alphanumeric characters and includes at least one symbol. Passwords are case-sensitive!

Password

Verify

(required) (8-32 characters; spaces not allowed) (space characters not allowed) Password values don't match (Same as User Name)

Account Information (Required)

Title

First Name

Last Name

Verify Email:

Specialty

Optional

The following information will be displayed to the people you share with.

Practice Name

Address

City

State/Province

Outside U.S.

Country

Postal Code

Phone #1

Phone #2

Fax

Use of this site involves the electronic transmission of patient information. Using this product is consent to such transmission of this information; such consent is effective at all times when using this site. AnywhereDolphin supports 128-bit browser encryption. Usage of AnywhereDolphin constitutes agreement of the Terms of Use agreement.