Register Account

Pharmacist

Doctor

Business Name *

Contact Name *

Email Address *

Phone Number *

Accounts Phone Number *

Search Address

Business Address *

Business Address (Line 2)

City/Suburb *

State

Postcode *

Date of Birth *

Concession Card Number (optional)

ABN Number

AHPRA Number

AHPRA Registration Certificate

A document needs to be added before registering.

Select a file or drag here

Please enter your eScript token or URL here

TGA Authorised Prescriber number

TGA Authorised prescriber approval

Select a file or drag here

Identity Document Type

* ID is required. If you cannot provide either of these please contact us to arrange an alternate form of ID check.

Driver's Licence

Passport

Identity Document Number *

Identity Document *

An identity document needs to be added before registering.

Select a file or drag here

If you want to apply for credit, please fill out the credit application form and email to accounts@cannatrek.com