A Good Family History

Health Care Provider Account Setup

Provider ID:
Password:

Account Information

Provider ID:
You will use your provider ID to identify yourself when you access A Good Family History. It can consist of any collection of letters, numbers and special characters. Please be aware that access to your account may be obtained by others if they know your username. If you already have a user ID for your personal family history, enter it here with the correct password and e-mail below.
Password:
Verify password:
Your password is used to secure your account and prevent access to your family history information.. You are encouraged to have a 6-14 character password with a combination of letters, numbers and special characters. Passwords are case sensitive.
E-mail:
Verify e-mail:
A valid e-mail address is very important and will be required to complete your account activation. Certain e-mail domains may automatically send A Good Family History e-mails to the Spam or Junk folder. You will need to allow A Good Family History to send e-mails to your e-mail address.

User Information

Name:
,
first last prof. suffix
Gender:
Provider type:
Telephone:
Fax:
Address:


,
citystatezip
Preferred communication:
Select your preferred or the best method for family medical history information to be communicated to you. The contact information that you provide will not be shared or made public but will be used when a patient or client has made updates to their family history and indicate that they would like a revised version to be submitted to their medical record.
Member of group(s):
Select the group or groups of practitioners that should have access to the records on your clients or patients such as your partners, nurses, etc. The organizers of this group will be contacted requiring them to acknowledge and accept you before your will be granted access to any of their patient/client family medical history information but this will not restrict you from entering information on your patients. To select multiple entries hold the Control key or Apple/Command key, depending on the type of computer and browser you are using.
Institutional affiliation(s):
Select the institution or institutions that you practice at. This is used for assigning the appropriate medical registration number when reporting a family medical history.

Terms of Service

Please review the following terms and conditions of use.
By checking the "I agree" button, you agree and consent to the A Good Family History Terms of Service.

If you already have an account then login using your existing account.