Eyecore - Clinic Registration

Complete your registration in 3 simple steps

Account

Clinic

Verify

Your Account

Admin credentials for your clinic

First Name *

Last Name *

Email Address *

OTP will be sent here for verification.

Password *

Confirm Password *

Clinic Information

Details about your clinic

Clinic Logo *

Clinic Name *

Clinic Type *

Clinic Email *

Branch (optional)

Clinic Address *

City / Municipality *

Contact Number *

I agree to the Terms & Conditions and Privacy Policy

Email Verification

Enter the 6-digit code we sent you

your email

Enter the 6-digit OTP sent to your email address.
Valid for 5 minutes.

Code expires in 5:00

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