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Become an UBERDOC Patient
You must be 18 years or older to use UBERDOC. If you are scheduling an appointment on behalf of someone (child or elderly parent) please use your own information here.
First name
*
Last name
*
Email
*
Confirm email
*
Password
*
Re-enter password
*
Phone number
*
Gender
*
Select gender
Female
Male
Other
Date of birth
*
Street address
*
Street address 2
City
*
State
*
Select state
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District of Columbia
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Zip code
*
How did you hear about UBERDOC?
*
Select Reason
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Other
I have read, understand and agree to the
UBERDOC Privacy Policy
I have read, understand and agree to the
UBERDOC Terms of Use
I understand my health savings account or credit card will only be charged upon scheduling and/or completing an appointment.
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