Patient Self Registration

Personal Details

The CORE-AT Electronic Medical Record (EMR) is the documentation system that your athletic trainer uses to record injuries, treatments, and other health information. Please follow the instructions below to create your account.

Please enter the required information below to create your acount. Note that all fields marked with an * are required.

Please create a user name that is easy for you to remember. Consider using the first initial of your first name and your full last name. For example, if your name is John Doe = jdoe. If your user name is not available, try adding a number like your jersey number to the end of the user name = jdoe18.

Please create a password that is easy for you to remember but hard for someone to guess. Your password should be at least 4 characters long. Passwords are case sensitive.

(select all that apply)

Guardian #1

Secondary Guardian or Emergency Contact

Primary Care Physician

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