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Legal name*
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Your Profile
Please enter the information below to create your account and access your radiology appointments and reports.
Legal name*
This must match the name on your official health card or other ID so that we can provide our services to you.
This must match your health card / ID.
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Please Contact Us
We'd love to register you but we need to verify some information for security reasons.

Please call our clinic at (555) 234-1234 to clear this up.

Make it clear that you're trying to register for the patient app, and make sure we have the right information on file for you.