Welcome Provider Portal Create Account Step 1 of 3 33% To create an account with SOLVD Health, please fill out this form. Once our team verifies your account information, we will ship you 5 collection kits to get you started with LifeKit™ PreScript. Step 1: Contact InformationPlease enter the contact information for the primary point of contact on your account. Required fields are marked with a * Contact Person’s Name* First Last Contact Phone*Contact Email* Step 2: Location InformationPlease enter your location details. This address is where we will send your collection kits. Please be sure to provide the NPI number. Required fields are marked with a * Practice/Hospital Name*Phone*FaxAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code NPI#* Step 3: Administrators/ProvidersPlease enter information for your location’s providers and account administrators. NPI number is required for providers. Required fields are marked with a * Name* First Last Email* Access Level*...AdministratorProviderNPI#* Add Additional Administrator/ProviderAdd more?...123Name* First Last Email* Access Level*...AdministratorProviderNPI#* Name* First Last Email* Access Level*...AdministratorProviderNPI#* Name* First Last Email* Access Level*...AdministratorProviderNPI#*