*Note: Membership to this site is private. Once your account information has been submitted, the Site Administrator will be notified and your application will be subjected to a screening procedure. If your application is authorized, you will receive notification that you can access the site. All fields marked with a red asterisk are required. (Note: - Registration may take several seconds. Once you click the Register button please wait until the system responds.)

Enter a display name.
Enter a valid email address.
Enter a user name. It must be at least five characters long, must be an alphanumeric value, must not start/end with a space, and must not contain any of these characters !"#$%&'()*+,/:;<=>?@[\]^`{|}
Enter your password.
Re-enter the password to confirm.

Okaloosa Patient Portal: FOR INQUIRIES CALL  888-204-8256 MON-FRI (9AM-6PM CST) OR EMAIL OKALOOSA@PAYAMBULANCE.COM