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
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Email Information