To round off this discussion, I believe the best approach is to implement a simple web form for creating a person within the database. The process would involve the individual registering their name and email address, which would then set them up in the OpenMRS system. Subsequently, a member of the clinical administrative staff can set up that individual as a patient.Once this initial setup is complete, all subsequent interactions can be managed through the patient portal. This method ensures a streamlined process for both patients and staff, enhancing efficiency and user experience. to follow this further discussion and with the patient portal discussion: Where to with a Patient Portal - #4 by oliebolz