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The Vaccine App – Signup
This is to register as a Health Care provider.
Please select your country
START
Welcome! Let's get started
Your personal work email address
This is the personal email address of the clinic supervisor who will function as administrator of The Vaccine App Health Professional System. They will be able to add health care users to the system and we will correspond via this email.
Your Name?
The name of your clinic?
Are you part of a group?
Please select the group from the list below if unsure click other
Your clinic practice number?
Your clinic contact details
These will be available to app users to make contact with you. Please make sure they are correct.
How did you hear about The Vaccine App?
Please select an option from the list below
One last thing!
Your clinic address?
Please note this will appear on the app so should be up to date and accurate.
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Sign up completed
Your Application has been Pended.
Your registration process has been pended subject to validation checks which could take up to 24 hours to approve, while we validate your medical information. We endeavour to get this done as quickly as possible so keep an eye on your inbox and your junk/spam folder just in case. Any queries in the interim can be directed to [email protected]