Citizens Medical Center

You must have a valid email address on your hospital account prior to self-enrollment.

Forgot Username?

Forgot Password?

Your portal is temporarily unavailable. Please wait and try again later.

Your portal is no longer available.

Create an account

Last Name (required)

First Name (required)

Date of Birth (required)

Year Month Day

You must be 18 years or older

Gender (required)

Medical Record Number or Last 4 Digits of Social Security Number (required)

Email Address (required) Example: email@example.com

Confirm Email Address (required)