Doctor Account Registration

Online Account Registration For Doctors

"*" indicates required fields

Contact Info

Enter a username. (Min. 8 alphanumeric, lowercase chars. only).
Enter a password for your online account. (Min. 8 chars., incl. uppercase, lowercase, numbers).
Strength indicator
Business Address*

Account Payment

Enter an account type
Enter a payment method.
For payment terms, download Credit Application, fill, save and submit (upload) below.
Accepted file types: pdf, Max. file size: 128 MB.


If healthcare student, enter educational institution.


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Patient Referral Program
Your patients purchase our products directly online using your AlphaScienceLabs referral code. Program not applicable to HealthCare Students.
Terms of Use and Privacy Policy*
This field is for validation purposes and should be left unchanged.