Get Driscoll Portal

This guide provides clear and supportive instructions for successfully completing the Driscoll Portal online. Follow these steps to ensure that you accurately provide the necessary information for access.

Follow the steps to complete the form effectively.

1. Click the 'Get Form' button to obtain the Driscoll Portal form and open it in your preferred editor.
2. In the section designated for the undersigned, enter your details as the requesting party. This includes your printed name, practice or facility name, and the date.
3. Designate a portal administrator by providing their name, email address, and telephone number. This person will oversee portal access for your organization.
4. Fill in the Tax Identification Number (TAX ID) associated with your practice or facility in the designated field.
5. Complete the Web Portal Sign-Up Information Form by entering your practice name, address, phone number, fax number, primary contact person, and their email address.
6. List the names and emails of providers in your practice who require access to the portal. Indicate their access level by checking 'Back Office' or 'Front Desk'.
7. Once all fields are filled out accurately, review your entries for any errors or omissions.
8. Save the changes made to the form. You may then download or print it for your records or submission.
9. If needed, share the completed form with relevant team members or departments in your organization.

Begin filling out your documents online today with these easy-to-follow instructions.