New York Central Registry

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 New York Central Registry.

Instructions

You are creating your profile in the 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 Access Authorization form will be created and an email will be sent to the program director. 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 we 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*

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

Last Name*

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.

visibility

Date of Birth*

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

Work Phone*

Cell Phone

Fax Number

Email*

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

Validate Email Address

Sites*

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 are sorry, but we were not able to validate the email address you entered. If you know this email address is correct, please click the "Use Anyway" button. If you want to make corrections or enter a different email address, please click the "Change Email Address" 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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