Provider Registration

  • Step 1
  • Step 2
  • Step 3
  • Step 4
Provider Name
Please enter your organization's legal name and domain name. A unique domain name (e.g. is required for registration. All accounts generated by Healthcare Professionals are linked to a unique domain.
Company Contact Information

e.g. This is the main number for the company you are registering
Main Point of Contact at Company
Tell us the name of the individual that is registering
We will email you with alerts and reports. e.g. alert you each time a doctor registers.
Users & Terms does not store or send any PHI