Register New Clinic

Create the clinic record and the clinic owner’s private admin account at the same time.

Clinic Information

These details identify the clinic and open its role-selection portal.

Clinic Name

Location / Address

Clinic Contact Number

Public Clinic Email

Clinic Access Password

Confirm Clinic Access Password

Only this private account can enter the owner/admin dashboard. It must use a different email from the public clinic email.

Owner Full Name

Private Owner Phone (optional)

Private Owner Email

Private Owner Password

Confirm Private Owner Password

Click the map or drag the marker to set the exact clinic location.

Selected Latitude

Selected Longitude

The clinic-access password only opens the Dentist/Owner selection screen. The private owner password is still required to enter the admin dashboard.