Activation

1 Activation
Request
2 Email
Verification
3 Terms
of use
4 Final
Verification

COMPLETE MATCH REQUIRED

To complete account activation, the information provided must fully match the data submitted to Apple Pediatrics.
The credit card used during account activation MUST be the same as the one used during registration with Apple Pediatrics.

Child's Name
Child's Date of Birth
Mother's
Date of Birth
Responsible party and Credit card
Must match / $1 Activation Fee
Perfect Match

To initiate the account activation please review the following:

1
Read our: Account Activation Overview (PDF).
2
Please note: If the mother's date of birth is not known or available, please enter the date of birth of the parent, surrogate parent or legal guardian whose name was provided for the medical record.
3
Responsible party is the primary account holder of the child's health insurance. It is the person under whom the child is insured.
Overview of child’s health account (PDF). Account access and fees (PDF). Terms of Use (PDF).

Start Activation Request - Fill This Form

You will receive an email with further instructions about your child's account activation to the email address you provided for your child's health record at Apple Pediatrics..

COMPLETE MATCH REQUIRED

Child's NameChild's Date of Birth

Mother'sDate of Birth

Responsible party and Credit cardMust match / $1 Activation Fee

Perfect Match

To initiate the account activation please review the following:

Start Activation Request - Fill This Form

Child's Name
Child's Date of Birth

Mother's
Date of Birth

Responsible party and Credit card
Must match / $1 Activation Fee