Practitioner Registration - OutcomesIT

Practitioner Registration

Please note that your professional credentials will be validated before your registration is processed

I have read the Terms & Conditions and Privacy Policy and agree to same.

UserName

Email

Title

First Name

Last Name

ID Number

Job Title

Profession

Qualification

Clinic/Practice Name

HPCSA/SACSSP Reg No

BHF Practice No

Preferred Billing Date

Contact Numbers

Create Password

Min 6, 1 upper, 1 lower, 1 numeric & 1 special char

Confirm password

Click here once complete

Go Back