Current Users

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New Users

Registration Form

First Name:


Last Name:


Last 4 digits of SSN:


Birthdate:


Login Retrieval

Enter Your Registered Email

Email:


  

Instructions

  1. First time users click on the "New Users" tab to register.
  2. You will be sent a confirmation email to the address used to register.*
  3. Use the link provided in the confirmation email to complete registration and access the Online PHS and Status Check at any time.