Portal Access Registration

Welcome to the Center for Spinal Disorders' Physician Portal. Our portal requires you to register and be approved.

Please complete the registration form below. Once submitted, we will be notified and your request will be reviewed. Upon approval, you will be able to add additional doctors, users and begin submitting requests.

An email will be sent to you letting you know that your account has been approved.

Should you have any questions or require additional information, please feel free to contact us at portal@csd.md or by calling us at 602-253-7000.

Practice Name:
Address One:
Address Two:
City:
State:
Zip:
Website:
Phone:
Phone 2:
Fax:

Optional:	I am an Adjustor or Case Manager

Physician Name
NPI

Your Name
Email Address
Password
Confirm Password