Request a Username and Password 

Please fill out the form below. You will receive a confirmation of your username and password in two business days.
You are solely responsible for taking all reasonable steps to ensure that no unauthorized persons have access to your username and password.
It is your responsibility to:

  1. Prevent the dissemination and use of your username and password;
  2. Monitor, and control access to and use of your username and password; and
  3. Promptly inform ARA of any need to deactivate a username and password.

Please Note: You will need to use Microsoft Internet Explorer to login to the secure area.

Some clients choose to approve their own login requests and these are not controlled by ARA.
The information filled out below will be forwarded to the requested client for approval. ARA does not approve login requests for the following clients:

  • Seton Healthcare Network
  • Cedar Park Regional

Login Type:    
First Name:  
Last Name:  
Name of Practice:  (no abbreviations)
Position:  (no abbreviations)
Business Address 1:  
Business Address 2:
City:    
State:    
Zip:    
TX Medical License #:  
Last four digits of SSN:    
Email Address:  (business Email) 
Phone: (xxx-xxx-xxxx)  (main office number - no cell)  
Fax:  
ARA Marketing Rep:  
* = required