All Fields
All Fields Must Be Completed
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Choose a user name that you want to use. If someone is already using it you will need to choose another.
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If you only have one phone number type “NA” in the other phone field.
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The “Middle Name” is the only field that can be left blank.
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The “City” field will be the suburb or town that you reside in.
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Once you have completed the form click on the “Register Button”.
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If you have followed the instructions and competed all the required fields you will be redirected to a new page confirming your registration.
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After registration you will receive an email with your password. If you don’t see it in your inbox please check your spam or junk mail folders.
- If you have registered previously for a program your email will already be registered on our members system. Please send an email to info@diabetichealthclinic.org with a request to tranfer your membeship to the program you are wanting to attend.
NOTE: Each person registering MUST have their own email address. If you need to obtain another email to register your partner or friend please click the button below.
- If you have registered previously for a program your email will already be registered on our members system. Please send an email to info@diabetichealthclinic.org with a request to tranfer your membeship to the program you are wanting to attend.
Your IP Address is 3.15.6.77