Practitioner Registration

MediRates is powered by Medical Network


You have chosen to register an account for the MediRates service. To enhance your experience MediRates has integrated with the Medical Network integration platform to handle the processing of the service.

The use of the Medical Network gives you all the benefits of their service and ensures that your MediRates account and payments are secured through their platform. You will also get a FREE profile on the Medical Network directory meaning that potential clients can find your practice.

Please complete the registration in full. Medical Network will verify your details and send you an email to complete the MediRates registration process.



Registration was unsuccessful. Please correct the errors and try again.

Complete the Form:

Email:
(Will be verified)
  *
Enter Password:
  *
Confirm Password:
  *
Practice Telephone:
  *
Suite/Room:
  *
Building/Hospital:
  *
Street Address:
 
Capture your physical address and click on "Find on Map" to check the GPS location. To assist searching please ensure the location on the map is accurate. You can click on the marker and drag it to the location.
Name:
(eg. Dr A Demo)
  *
HPCSA Number:
  *
Cell:
(for sms)
  *
Specialisation(s):
  *
  *
  *

Institution/Organisation

Institution Name:
(eg. Medi-Demo )
  *
Type(s):
  *
  *
  *
If you cannot find a suitable institution type and wish to request an addition please complete your registration and then submit your request using our feedback system.

Contact Person Name:
  *
Contact Person Position:
  *
Contact Person Cell:
(for sms)
  *

Other Practitioners


I have read and accepted the Terms and Conditions    *