Activate Online Ordering – Healthchange Ireland Registration

Activate account

If you already have an account with Healthxchange Ireland and wish to activate Online Ordering on the new platform, please fill out the details below. We will take care of the rest and let you know once your account is ready to use.

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Status(Required)

Clinic information

Clinic Name(Required)

Account reference(Required)

Eircode (billing)(Required)

This is essential so we can locate your company via the account reference

Medical Professional Details

Name(Required)

First Last

Prescriber Email(Required)

Enter Email Confirm Email

Must be the prescriber's own email address, as this will be used for signing orders. Generic emails like hello@, accounts@, info@ are not permitted here.

Profession(Required)

Registration no.(Required)

Photo ID(Required)

Accepted file types: jpg, jpeg, png, Max. file size: 10 MB.

This can be: drivers license or passport

Phone number(Required)

Please ensure you enter a valid phone number, initial 0 should be dropped

Additional users

Give online access for online orders submission to the following users:

comma separate the email addresses if there are more than one, e.g. user-one@clinic.com, user-two@clinic.com