Launchpad Enrollment Form
Practice/Facility Authorized Personnel Account Setup Form
ONLINE APPLICATION
INSTRUCTIONS:
Choose Single Practice Account option to set up Launchpad account for Authorized Personnel for single practice location.
Choose Group Practice/Facility Account option to set up Launchpad account for Authorized Personnel for each Practice of Facility location.
Should you prefer to fill out the form manually, you can download "Electronic Health Records Practice Agreement for Launchpad" by clicking "Download Application Form" button.