1.800.KIDS DOC | 1.800.543.7362

Create a Lurie Children's Account

ACCOUNT LOGIN
  (Must be at least 7 characters and include both alphabetic and numeric characters, symbols allowed.)
ADDRESS INFORMATION
PRACTICE/ORGANIZATION INFORMATION
CREDIT REPORTING ORGANIZATION

Enter your primary Credit Reporting Organization information here. If you need to add additional organization memberships, you can do so on the next page after your account is created.

MEMBERSHIP
ADDITIONAL INFORMATION