Use this screen to request access to the central registry.

Complete these fields to send a request to your program director to grant you access at your clinic on the North Carolina Central Registry.

Instructions

You are creating your profile in The Central Registry and requesting access to your site. You may only request access to one site from this screen.

If you need access to more than one site, there is a separate process to request access to additional sites. Contact Central Registry support for more information on this process.

When you click the submit button an email will be sent to your program director asking them to approve your access. The program director will have to approve your request, select the security options they want you to have, and provide you access to The Central Registry.

If your request is approved, The Central Registry will assign a user name to you and send an email confirmation message with your user name assigned to you. Please ensure the email address you entered is correct, or you will NOT receive the confirmation message.

If you do not have an email address, coordinate with your program director to use their address so you can receive your username.

Reminder: Make sure you add the address support@thecentralregistry.com to your approved or safe sender email to prevent issues with receiving email from Lighthouse. Please remember to check your “Spam” or “Junk” folders if you are unable to find the email.

First Name * (Do NOT enter an email address here!)

Enter your first name. It is best if you enter your name as it appears on your ID.

Last Name * (Do NOT enter an email address here!)

Enter your last name. It is best if you enter your name as it appears on your ID.

Password *

Must contain at least 8 characters including 1 upper case letter, 1 lower case letter, one number and 1 special character.

Confirm Password *

Re-enter the same password.

Date of Birth *

Birth date is used for password resets to confirm the user's identity.

Work Phone *

Enter your work phone number.

Cell Phone

Fax Number

Email *

You must validate your email address before you can submit this form.

Site *

An email confirmation will be sent to the address listed above and to your program director. Please contact support if you do not receive an email.

Congratulations – the email address you entered has been validated and is ready to use. A welcome message has been sent to you.

While we were not able to validate the email address you have chosen to use the email as entered.

We were NOT able to validate the email address you entered

You might not receive your Access Approval Email
That email contains the user name assigned to your profile

Please review the email address you entered

Fix any typos
Try a different email
To fix or change emails, click the “Change Email Address” button

If you know the email address you entered is correct and valid

You may still use it
Click the “Use Anyway” button

The mobile number you entered was previously blocked by the phone’s owner. Type “UNSTOP” to ++18334111816 or contact phone company to find out how to unblock this number.

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Request Access To The Central Registry - North Carolina Central Registry