Enter Patient Information Below

Please enter either your email address or phone number
CSV instructions

Your CSV must contain the following headers to be accepted:

  • first_name
  • last_name

We also require one (or optionally both) of these headers:

  • email_address
  • phone_number

You can optionally supply these headers:

  • shortname
  • phone_country (eg. "us", "gb", "au"...)

Example:

email_address phone_number first_name last_name shortname phone_country
john@abc.com +15556667777 John Doe
rich@abc.com +61334445555 Richard Roe
mary@abc.com 445556666 Mary Jane AU