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Register As A Physician

This online diary has, in the first place, been conceived to encourage electronical communication between physicians and patients. If you are a physician and want to apply this communications facility, please register as well.

The conditions have been defined by the Medical Advisory Board of the Diabetes-News Portals Basic condition is that you are a member of the physicians network of Diabetes-News. The medical advisory board has to authorize the release of each physician. It might therefore take a little to release your new account.

Signing in as a physician exclusively opens the communication facilities with your patients. If you want, however, to use the diary as such, please Register as a Patient.

Username:  *minimum 6 characters
Password:  *minimum 6 characters
Confirm Password:   

Security Question
If you forgot your password you can enter a new password provided you know the answer of your security question.

Enter Your Own Security Question:
or choose a Security Question:
Answer:

e-mail:  *minimum 6 characters
Salutation:  *of the physician
Titel:  *of the physician
First name:  *of the physician
Name:  *of the physician
Telephone:  *of the physician
Telefax:  *of the physician



Address Of Your Mecidal Office:
Street/Nr.: 
ZIP code/Town: 



Contact Person:
Salutation:   
Titel:   
First name: 
Name: 

 Language: 
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