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Create a New Account
In order to make full use of our online services, you will need to create an account and verify that you are registered with the clinic, or request to become a new patient.
Please use the form below to create your account. Once your account is created, you will proceed to the verification process.
Account Information
First name:
Last name:
E-mail address:
Re-enter e-mail address:
Use Alternate E-mail for Notifications:
Log In Information
User ID:
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Password Recovery
Secret Question #1:
What is your mother’s maiden name?
What is your favorite pet’s name?
What was your first car?
What is your father’s middle name?
What is the name of the first school you attended?
Where did you first meet your spouse?
What was your high school's mascot?
Who was your closest childhood friend?
Secret Answer #1:
Secret Question #2:
What is your mother’s maiden name?
What is your favorite pet’s name?
What was your first car?
What is your father’s middle name?
What is the name of the first school you attended?
Where did you first meet your spouse?
What was your high school's mascot?
Who was your closest childhood friend?
Secret Answer #2:
My CPC Login
Password can not be reset as the email change verification is pending. If you forgot your password, contact your system administrator
User ID or Email
Password
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I forgot my password.
Having Problems Logging In?
Having problems logging in?
Please call 706-922-8248
or send us a email portalhelp@cpcfp.com
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