Registration
Step 1 – About You
Title
*
Dr
Mr
Miss
Mrs
First Name
*
Last Name
*
Gender
*
Select
Male
Female
Other
Date of Birth
*
Age
Email
*
Phone
*
Address Line 1
*
Address Line 2
*
Town
*
Postcode
*
Next
Step 2 – Prescriber Status
Role
*
Select a Value
Clinic Admin
Admin User
Prescriber (NMP)
Pharmacist
Clinic Office Staff
GMC number
*
(To get a GMC number)
Back
Doc Verification
Step 3 – ID Verification
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