Access the Patient Portal anywhere and everywhere with the new OraPath mobile app!

New Provider Account Form

Whether you're new to salivary diagnostics or experienced in integrative care, we make it easy to interpret results and apply them clinically. Get started with OraPath by filling out the form below to request a new Provider Portal account. We will review your submission and get back to you as soon as possible!

Practice

Practice Name: *

Office Email: *

Office Address: *

Suite/Apt #:

City: *

State: *

Zip: *

Country: *

Office Phone Number: *

Practice Type: *

Ordering Provider

First Name: *

Last Name: *

Credentials: *

Additional Information

How did you hear about OraPath? *

Name of person completing this form: *

Please list any additional questions/comments/testing experience in the box below.

Please verify that all information has been entered correctly and reflects the most up to date information available before selecting submit. Your completed form will be automatically sent to our OraPath team to finalize your account set up.

After submitting this form, our team will review your information and reach out to begin your onboarding process. Please allow the system time to process your request. Once your Provider Portal account is created, you will receive an email prompting you to create a new password.