Text Size Decrease Text Size  Increase Text Size
Registration Step 1 of 2 - Personal Information for the Person Registering on this Site

We want to keep your health information private and safe. You will use personal information to register.
This information will only be seen by you and people working for the Alabama Medicaid Agency.

Enter Personal Information for the Person Registering on this Site
1. Type your first name and last name.
2. Type your date of birth in this format: MM/DD/CCYY, or use the calendar.
Note: Use the back arrow to move back through the years on the calendar.
3. Type your Medicaid Recipient ID OR your Social Security Number. Do not use dashes or spaces. Type numbers only.
You will need to use the same number when you come back to use this site.
4. Click Continue.
If your registration is successful, you will go to Step 2.
You will be told if you have registered before and taken to the Log In screen.