Raintree Healthcare

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Account Registration

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Parent/ Guardian first name

Parent/ Guardian last name

Parent/ Guardian middle name/initial

Parent/ Guardian gender

Parent/ Guardian date of birth

Cell Phone #

Re-enter Cell Phone #

Password

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Family Member

First name

Last name

Middle name/initial

Date of birth

Gender

Relationship to the patient

Add another family member

Add baby on the way!

Baby on the Way

First name

Last name

Due Date

Gender

Add another family member

Add baby on the way!

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Your Address

Street Address 1

Street Address 2 Apartment, suite, unit, etc

City

State

Zip

Phone Numbers

Mobile

Home *Optional*

Work *Optional*

Your Insurance

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Take picture on my mobile phone

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Add another insurance

Your Insurance

Please help us maintain accuracy by uploading a copy of your insurance card. Select a front and back image of your card.

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Add another insurance

Your Insurance

Are the registered patients actively covered by a health insurance policy?

Your Insurance

Do you have the insurance card available now?

Credit Card

Book Appointment

Packet Forms

Thank you for registering, please click Continue to fill out the patient forms.

Your Insurance

Book Appointment

Do you want to book an appointment now?

Packet Forms

Thank you for registering, please click Continue to fill out the patient forms.

Contact Us

Please contact us with any questions. We hope to serve your family soon.

Your Insurance

Please select your health insurance provider

Please enter the policyholder's information below:

Your Family Members

Please select the family member whose insurance you would like to enter first:

If you would like to add insurance for another family member, please click a name below:

Account Registration

Family Member

Baby on the Way

Your Address

Phone Numbers

Your Insurance

Your Insurance

Your Insurance

Your Insurance

Credit Card

Book Appointment

Packet Forms

Your Insurance

Book Appointment

Packet Forms

Contact Us

Your Insurance

Your Family Members

Upload picture of insurance card