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Register Account

First Name*

Last Name*

Email*

Phone Number*

Password*

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Weak

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  • Must be at east 8 characters long
  • Include at least one uppercase letter
  • Include at least one lowercase letter
  • Include at least one number (0-9)
  • Include at least one special character (e.g., !, @, #, $, %, ^, &)

Password Confirmation*

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Profession*

Medical Speciality*

Institution/Hospital