Moffitt logo

Moffitt Clinical Pathways Account Request Form
To get started, please complete and submit the form below. Once received, a representative from our Physician Access Line (PAL) will reach out to you to complete the process. If you have any questions, please call Moffitt’s Physician Access Line at 1-888-Moffitt (1-888-663-3488), Option 1.

Already have an account? If yes, please proceed to the Moffitt Clinical Pathways site login page. Forgot Password?

Physician Information

Primary Address and Telephone Number Information

Email Information