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 Bodhi Medical.
The credit card used during account activation MUST be the same as the one used during registration with Bodhi Medical.

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 health insurance. It is the person under whom are you insured.
Overview of 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 account activation to the email address you provided for your health record at Bodhi Medical.