Register as a Medical Provider

Enter your details

After registration, your account will need to be verified by an administrator before sending a confirmation email.
For any queries, please send an email to reception@theranostics.com.au.

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Personal Information

Referrer Information

Provider Number is only required for Australian Providers. Providers from other countries please leave the value as 0.

Enter a Password

Passwords must be at least 8 characters long, and have at least one of each of the following:

  • Upper case letter
  • Lower case letter
  • Number

CONTACT US

Phone

+61 8 9091 1081

 

Address

Unit 106, 1 Silas Street, East Fremantle WA 6158