Registration Access for Community Clients & Families
Actual Customer
Are you the actual customer/client receiving medicines/goods?
YES
NO
Great! Have you read and do you agreed to the terms and conditions?
Please read the terms and conditions before proceeding to the next stage.
To accept/decline please read all conditions and ensure you have scrolled down to the bottom.
YES
NO
Authorisation
Are you the authorised person to access this website on behalf of the customer?
YES
NO
Account Details
Your Personal Details
Your Personal Details
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Proof of Authorisation Upload
Please upload document for evidence ie. power of attorney.
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Unfortunately you have not been given access at this time. Please forward any inqueries to us.