Apply for an account for healthcare professionals

Are you a healthcare professional and do you want to work with Microbiome Center? Simply request an account below. After checking your details, we will contact you and activate your account.

Become part of the Microbiome Center network

Request an account below. After approval, you will have access to the treatment platform, the advice help and all support for affiliated healthcare professionals.

Company

This field is for validation purposes and should be left unchanged.

Personal data

First name(Required)

Last name(Required)

Date of birth (DD/MM/YYYY)(Required)

Email address(Required)

Phone number

Practice information

Practice address(Required)

Professional registration number(Required)

BioVis account number (if available)

Registration

Licensing authority

Date of practitioner registration (DD/MM/YYYY)

Upload your diploma(s)

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 5 MB, Max. files: 3.

Menu

Menu

How it works

What is the microbiome?

Apply for an account for healthcare professionals

Become part of the Microbiome Center network

Personal data

Practice information

Registration

For healthcare providers

General