Fill out the form below in order to create a new account on this system. Once you've successfully registered, you'll be able to log in to the system immediately. Questions marked with a * are required.
Email Address *
First Name *
Last Name *
Primary Telephone Number *
Secondary Telephone Number
Secondary Email Address (only primary email will receive confirmations)
Base *-- please select --NellisCreechOther
Password (10 Character Minimum) *
Re-Enter Password *
Send me an email when my appointments are made, modified or canceled:
Send me an email with center announcements or other mass mailings:
Send me an email to remind me of my upcoming appointments:
Include iCal links with appointment confirmation messages? NoYes
Text Messaging Preferences
You have the option of receiving appointment reminders and waiting list "appointment available" notices via text message instead of via email. If you would prefer to receive text message notices, enter your ten-digit mobile phone number and select your carrier below. Depending on your mobile carrier and plan, you may incur charges for receiving text messages. By entering your number below, you agreee to be responsible for those charges.
Mobile Carrier:-- please select --AT&TCingular (GSM)Cingular (TDMA)CricketMetro PCSNextelSprint PCST-MobileUS CellularVerizon WirelessBell MobilityBellFido (Microcell)Koodo MobileManitoba Telecom SystemsNBTelPageNetRogersSasktelTelusVirgin Mobile3 River WirelessAdvantage CommunicationsAirVoiceAllTelBell South (Blackberry)Bell South MobilityBell SouthBluegrass CellularBoost MobileCallPlusCarolina Mobile CommunicationsCellular One East CoastCellular One PCSCellular One South WestCellular One WestCellular OneCellular SouthCentral Vermont CommunicationsCenturyTelCingular WirelessCook PagingCorr Wireless CommunicationsDobson Communications CorporationDobson-Alex Wireless / Dobson-Cellular OneEdge WirelessGalaxy CorporationGrayLink / Porta-PhoneGTEHouston CellularInland Cellular TelephoneJSM Tele-PageLauttamus CommunicationMCI PhoneMCIMetrocall 2-wayMetrocallMidwest WirelessMobilecom PAMobilfoneMorris WirelessNextelNPI WirelessNtelosOmnipointOnlineBeepPacific BellPageMartPageOne NorthWestPCS OnePioneer / Enid CellularPrice CommunicationsProPagePublic Service CellularQwestRAM PageSafaricomSatelindo GSMSimple FreedomSmart TelecomSouthern LINCSouthwestern BellSprint PagingSunComSurewest CommunicationsTeletouchTelusTIMTritonTSR WirelessUnicelUSA MobilityVerizon PCSVirgin MobileWest Central WirelessWestern WirelessWyndtell
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