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Details

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Security

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Identification

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Terms

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Review

Use 8 or more characters with a mix of letters(Upper and lowercase), numbers & symbols.
Keep this pin stored securely somewhere

Security Question

Please answer your security question below. We use this to verify your identity when accessing account information.

Signature

We need a copy of your signature to include on invoices and prescriptions. Please make sure this is an accurate representation of your signature. We manually review each uploaded signature.

Drop files here or click to upload.

Identification

We need your identification to verify and approve your account. Please upload a scan or picture of your driving licence, passport or other form of identification.

Drop files here or click to upload.

Identification And You

For verification purposes please send a clear picture of yourself holding your chosen Identification. With your Identification and face clearly displayed.

Drop files here or click to upload.

Terms

Please carefully read and accept the following.

We're reviewing your submission

Thank you for submitting your application for our online portal. One of our team will review within 1-2 business days and be in touch if there is anything further we need. In the meantime, you have been sent a confirmation email to verify that your email address is correct. Please verify as soon as possible to make sure your account can be approved as quickly as possible.
If your initial request is successful, you will then receive a full account application form via email.