Home / Registration

Submit your intake docket.

All fields transmitted under AES-256 + TLS 1.3 encryption. Upon submission you will receive a confirmation docket ID and automated email via our secure dispatch system. Retain your ID for all future secure communications.

CLASSIFIED
🔒
Patient Intake Docket · Form PRI-INT-447
Rev. H-7 · Secure Electronic Submission · ----/--/--
🪪
📞
📧
🎖️
🛡️ All personal health information (PHI) is encrypted at rest and in transit per PRI Directive 14-7B. Your deposit is held in an escrow account and is 100% refundable until protocol eligibility is confirmed by a certified physician-agent.
✉️
Automated Email Confirmation
Temporary Inbox · Demo Mode

Upon submission, an encrypted confirmation docket is automatically dispatched to your email on file. In demo mode the system generates a mock preview inbox so you can see the exact confirmation patients receive.

  • ✅
    From: protocol@pri-domestic.mil
  • ✅
    Subject: PRI Confirmation · [DOCKET-ID]
  • ✅
    Signed: Patriot Regeneration · Classified S/MIME
  • ✅
    Attachment: Docket PDF + next-step instructions
📋
What happens after you submit
4-step accession pipeline

  1. Encrypted receipt issued

    Docket logged into the PRI classified system. Confirmation ID + email dispatched instantly.

  2. Agent assigned per tier

    Basic: 48h · Priority: 4h · VIP: 2h response window from certified intake lead.

  3. Diagnostics panel ordered

    Pre-procedure workup scheduled at nearest PRI affiliate — hematology, imaging, genomics.

  4. Session date locked

    Agent returns with pod accession date, travel & lodging, and financial package.

Secure Contact · 24/7
📞 +1 (800) 555-0147
Secure Switchboard · 06:00–22:00 ET
📧 protocol@pri-domestic.mil
📍 Andrews Annex · Bldg. 41
Joint Base Andrews · MD