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Full Name

Email

Password

Phone *

Gender *

Date of Birth *

Health Card Number (Optional)

Version

Address (Optional)

Used for referrals, prescriptions, and medical certificates

I consent to the use of my protected health information as described in the Health Information Privacy Notice. *

I have read and agree to the Privacy Policy. *

I have read and agree to the Terms of Service. *

I acknowledge and consent to receiving healthcare through virtual consultations. I have reviewed the Consent for Virtual Care. *