Phoenix Medical Account Registration

Apply for a practitioner or trade account

Phoenix Medical supplies qualified health practitioners and complementary therapists only. Apply for access by completing the registration form and uploading valid proof of qualification.

Before you apply Registration details Need help?

Have your practitioner details ready before registering

The Phoenix Medical registration form is designed to verify practitioner status and make sure account access is appropriate for professional healthcare use.

Create new customer account

Complete the live registration form below. Your application will be reviewed before practitioner or trade access is approved.

Have your certificate ready You will need to upload valid proof of qualification before submitting your application. Secure application

Register

First name *

Last name *

Username *

Email address *

Password *

User Type *

Prefix

Member of Association *

VAT

Company Name

Street Address *

Street Address 2

Town / City *

Country *

Postcode *

Phone Number *

Qualification Proof (please upload a valid certificate. Max. file size: 50 MB, allowed file types: pdf, jpg, png)* *
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx

Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.

Need help completing your application?

If you have a problem registering or need clarification before applying, contact Phoenix Medical directly for support.

Email registration support

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