Abstract: Various embodiments automatically generate a patient presence for a patient portal. In one embodiment, a secure communication is received from at least one electronic health management system. The secure communication comprises at least patient identifying information associated with a given individual. A set of user profiles associated with the patient portal is analyzed based on the patient identifying information. A determination is made, based on the analyzing, that the given individual fails to include an account with the patient portal. The given individual is automatically registered with the patient portal based on the determination. A communication is automatically sent to at least one of the electronic health management system and the given individual, and includes at least the login identifier, the password. The communication notifies the at least one of the electronic health management system and the given individual that the given individual has been automatically registered with the portal.