Clinician sign up

Create your Spark Clinic account

A few details about you and your clinic, a quick identity check, and our team reviews your application. No card needed.

1 PrepareWhat to have ready
2 Your detailsYou and your clinic
3 Verify identityPassport or national ID
4 ReviewWe approve and email you

Step 1 of 4

Before you start, have these ready

You can leave and come back to this page at any time.

MDPCZ number
Or the equivalent registration details for your regulatory body.
Clinic logo
For your clinic, or a placeholder image you are happy to use for now.
Your mobile phone
Used during identity verification.
Government issued ID
Passport or national ID only. These are the documents accepted for verification.

Back to home

Step 2 of 4

Your clinic

I am joining an existing clinicI have a Join Clinic Token from the clinic. I want to add a new clinicSet up a clinic and invite colleagues later.

Join Clinic Token *

About you

Full name *

Email *

Registration number *

Include the regulatory body, e.g. MDPCZ 0000000.

Referral code (optional)

Phone *

Mobile (optional)

Profile picture (optional)

Upload photo

Your address

Address line 1 *

Address line 2 (optional)

City *

Country *

What3Words *

///

Find your three words so patients can locate your practice.

Next: a quick identity check

After you submit, you will be taken to verify your passport or national ID. Have your phone ready.

By submitting you agree to our privacy policy. This site is protected by reCAPTCHA.

Sign Up

Name

Referal Code

Practice Name

Address Line 1

Address Line 2

City

Country

Post Code

Mobile

Phone

Registration Number (Include Regulatory Body E.g MDPCZ 0000000)

Picture

Document Picture