Manual Client Application Registration

Register your FHIR client application Complete the form below to register your client application to use OAuth 2.0 authorization code flow with a client_id and optional client_secret to access data from the following data source(s): Testing Stage System EMR Direct No PHI

Client ID:
Client Secret:
Developer Name:
Developer Representative:
Client App Name:
Redirect URI:
Client App URI:
Logo URI:
Terms of Service URI:
Privacy Policy URI:
Contact email:

	This client application is a confidential client capable of storing a client secret.
	This client application is a native application capable of securing a refresh token. Please see Section 2.1 of RFC 6749 for the definitions of 'confidential' and 'native application' as used above.
By clicking the 'Register' button, you affirm that the information contained in this form is accurate and complete.

Contact Testing Stage System EMR Direct No PHI directly regarding end user credentials, or with other questions about application access APIs.