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Required fields are denoted by an asterisk ( ) adjacent to the label.

Password must be between 8 and 20 characters long, must contain at least one number (0-9), one upper case letter (A-Z), one lower case letter (a-z), one of these special characters (! # $ ~), but no spaces. Make sure it is difficult for others to guess. Your Password is case-sensitive.
New Password
Confirm New Password
User Agreement By selecting Submit below, you agree to hold your user name and password confidential, not to share them, and not to allow the use of your ValueOptions' Online Provider Service account by any other individual or entity. If you believe that someone has used your user name and password to access ValueOptions' Online Provider Service without your authorization, please call e-Support Services immediately at 1-888-247-9311.
Clicking the Submit button will update/change your password.