Wibeto Practice PLLC

Security Check

Instructions: 1) Please use a laptop/desktop to register - do NOT use a phone, it will not work 2) Our psychiatrists are in-network with PPO plans for BCBS, Aetna, Optum/UHC

First Name:*

Last Name:*

DOB:*

Sex:*

E-mail:*

Mobile #:*

Home Phone #:

Address:*

Zip Code:*

Patient Availability:

Days:

Sun Mon Tue Wed Thu Fri Sat

Referral Source:*

Reason for Visit:

Facility:

Get email instructions in:

English Spanish

Once clicking "Proceed to Registration", you can complete your registration now or return to complete it later by clicking the link in the initial email you received.

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Once clicking "Proceed to Registration", you can complete your registration now or return to complete it later by clicking the link in the initial email you received.

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You will be happy to know that Patient Portal works seamlessly with Google Chrome.

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You can even make Google Chrome as your default browser.
Do you want to make Chrome your default browser?

If you want to see the step-by-step process to download
Google Chrome, click on the Download PDF button.

Still if you don’t want to use Google Chrome and continue with at the moment

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