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Register as Prescriber

To register with us as a prescriber please fill in your details below. Once your account has been approved, you can start creating fast and secure electronic prescriptions for your patients.

All fields marked with * are mandatory

Title

First Name*

Last Name*

Date of Birth

Health Care Professional Type*

Registration Number*

Mobile Number*

Fax

Upload Photo ID document (Passport or Drivers Licence)*

Upload Signature*

Enter Clinic Postcode or Street Name*

Enter Unique Prescriber Code*

Clinic Address*

Email Address*

Password*

Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purpoes described in our privacy policy.

I’ve read and accept the terms & conditions*