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Doctors Registration

To join this site you must be a duly qualified medical doctor or currently enrolled in an accredited medical training program.

Account information

Username: *

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E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

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Email Notifications

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You can change this setting on the "My account" page at any time. Notifications are sent every 6 hours.

Contact Information

First name: *

This is a required field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Last name: *

This is a required field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Phone number: *

Your phone number is required to contact you for authentication purposes. It can also be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Display Phone number to regular users

Company or clinic name (optional):

This is an optional field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Display Company or clinic name (optional) to regular users

Street1: *

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Display Street1 to regular users

Street2:

This is an optional field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Display Street2 to regular users

City: *

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Display City to regular users

Province/State: *

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Country: *

This is a required field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Postal code: *

This is a required field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Display Postal code to regular users

Medical Practice Information

Practice status: *

This is a required field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Display Practice status to regular users

Practice descriptor1: *

This is a required field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Display Practice descriptor1 to regular users

Practice descriptor2:

This is an optional field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Display Practice descriptor2 to regular users

Practice descriptor3:

This is an optional field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Display Practice descriptor3 to regular users

Practice descriptor4:

This is an optional field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Display Practice descriptor4 to regular users

Areas of Special Interest:

Select all that apply. On Win-OS use the Ctrl key, on Mac-OS use Command key. This is an optional field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Display Areas of Special Interest to regular users

Other Areas of Special Interest:

Enter key terms separated by commas. This is an optional field that can be viewed by other registered users when they view your profile and on lists made available to users for viewing.

Display Other Areas of Special Interest to regular users

Terms Of Use

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Link to Terms Of Use and Privacy Policy
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