For professional providers who are interested in working with Dr. Daniel in a mentoring capacity registration into our online patient portal system is required.  
Please complete the form below which will redirect you to our online patient portal registration system as if you were a patient. 
Upon application completion please do check your email for the account verification into our online patient portal.

Once you have been excepted in the registration please send a secure message introducing yourself and making note that you are design professional mentorship not patient care.