Practice Site User Registration

Primary Care First (PCF) Patient Experience of Care Survey (PECS) Practice Site Website User Credentials Registration Process

To obtain user credentials to access the private links on the PCF PECS website, each practice site must designate a staff member to be its PCF PEC Survey Administrator and have that person register by completing the information below. After you submit this registration form, the system will take you to a dashboard specifically created for your practice site. The dashboard will contain instructions for completing the next steps in the registration process.

Note that the PCF PECS Team will send user credentials to the registered PCF PEC Survey Administrator via an e-mail message as soon as this online form is submitted.

Survey Administrator First Name:
Survey Administrator Last Name:
Survey Administrator Email:
Confirm Email:
Survey Administrator Phone:

Please create and enter below a username and password that you would like to use to be able to access private links and forms on this website.

Requested Username:
Password (minimum 8 characters):
Confirm Password: