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Your Information

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Last Name *

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Practice Information

Practice Name *

Password *

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By checking this box, you agree to our End User License Agreement (EULA) for use of the Clerie EHR software, our Terms of Service outlining the terms of your subscription, and our Privacy Policy describing how we collect and use your data, and our HIPAA Business Associate Agreement (BAA) required for Clerie to host Protected Health Information (PHI) for your organization. You represent and warrant that you have the legal authority to enter into these agreements on behalf of your practice.

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