Please enter your First Name, Last Name, Gender, Date of Birth and member ID number.
Check this box if you are covered as a spouse or dependent.
To register as a dependent, please enter the primary policy holder's First Name, Last Name, Member ID#, Date of Birth and Gender. All fields are required.
Date of Birth
Primary Member Gender
Primary Member Relationship
To register a spouse or dependent, you must use the primary member's first name, last name, gender, date of birth and member ID number. Each family member will then create his/her own unique username and passcode.
MDLIVE is committed to offering you and your family the best in telehealth. Each Family Member must have a separate account as each individual has his/her own unique personal medical record.
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