Aprialink Registration

Fields marked with * are required.

Where You Work
Your First Name**
Your Last Name**
Physician Name*
First Last
Company/Clinic/Hospital Name*
Email**
Address*
Street Address Address Line 2 City State ZIP Code
Would you like an Apria Representative to contact you?*
Would you like an Apria Representative to contact you?
- Yes
- No
For non-physicians, please enter "0". You can look up your NPI if you have one, but do not know what it is. Go to npinumberlookup.org
NPI
Note: If you work for multiple physicians at different locations, please complete a separate Registration process for each location.

In order to safeguard protected patient data, access to ApriaLink requires someone in your account act as account coordinator. This person would determine who should and should not be granted data access.
If you agree to act as account coordinator for your account, please download the attached Account Coordinator Agreement. You will need to print the document, obtain the relevant authorized signature and fax or email to Apria at 844-719-0838. Otherwise, let us know if you would prefer to have an Apria representative to come visit you directly and set up the account coordination process for you.
Please Choose*
Click here to download the Account Coordinator Agreement
Name
This field is for validation purposes and should be left unchanged.

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