Online Results Enrollment Form

Please fill in the form below to organise access to Sunrise online lab results.

If you do not already have a Sunrise account number, please contact us to organise for one to be set up for you.

Contact details

Sunrise Account # * (4 to 7 digit number)

Account name *

Office contact *

Position *

Phone number *

Email address *

NPI # *

Requested user details

User Name 1 * (Last name, first name)

Desired login * (Usually first initial and last name, e.g. jsmith)

User Name 2

Desired login

Further information

Additional users / comments If additional users are required or if you have any comments you wish to make please fill in the section below.