Need to ask a question?1-888-51-ACTIV (22848) | Contact Us

Activ Doctors Online
Take control of your health - sign up today!

Have a promotional code? Enter it below to take advantage of your limited-time offer.

Enter Promo Code

Activ Doctors Online offers special promotions from time-to-time. Codes are typically located on Activ Doctors Online materials such as a brochure, newsletter, mailing or advertisement. Still need help? Just call us at 1-888-51-ACTIV.

Select Plan

Start your 30-Day Free Trial. Your card will not be billed today. After your trial ends, your credit card will be charged $14.95 per month for your PHR Individual membership. Our 30-Day Free Trial lets you build your Individual Personal Health Record Membership, which includes our Medical Records Assistance for one (1) of your physicians, plus easily upload as many more as you like. Access your PHR anytime from anywhere. Offer Good on Individual PHR Membership Plan only.

Basic Information

* required fields

String with 8 alphanumeric characters ( abcDE123 ) minimum.

String with 8 alphanumeric characters (abcDE123) minimum.


Address Information

* required fields

Referral Source

How did you know about us?

Please select your health provider:

IMPORTANT : If a physician has referred you to the health portal, please indicate his/hers name. If not use the 'Other' option.

Please indicate your referral source:

Copyright © Activ Doctors Consult LLC | Terms and Conditions | Privacy Policy / Hipaa Notice



Upload Photo

Select a new picture :

Upload photo

Select a new picture :