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Clinic Registration

Register your clinic and invite doctors to join

🔐 Login Credentials

Username *

Password *

Confirm Password *

👤 Clinic Owner Information

First Name *

Last Name *

Email *

Phone *

🏥 Clinic Information

Clinic Name *

Clinic Phone *

Clinic Fax *

Street Address *

City *

Province *

Postal Code *

Website

⚕️ Services Offered

On-site Laboratory ServicesSharps and Medication DisposalVaccination ServicesFree DeliveryOpioid Use Disorder Treatment

✨ Features

Wheelchair AccessibleParking AvailableOnline Appointment BookingOpen on SundaysOn-site/Adjacent Diagnostic Imaging

Online Booking Website (if applicable)

Enter the URL where patients can book appointments online

I agree to the Terms of Service and Privacy Policy. I understand that this clinic registration requires admin approval before becoming active. *

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