Register your organization with OpesCare

Apply to connect your healthcare organization to OpesCare. Our team will review your information before activation.

Organization Profile

Organization Category *

Is this organization already using clinical or administrative software?

Yes No

Does the organization require backend API integration?

Yes No

Facility Details

Organization Legal Name *

Trade / Operating Name (If different)

Company Registration Number *

Clinical Facility License Number *

Physical / Postal Address *

Primary Contact Phone *

Primary Public Email *

Contact Information

Primary Contact Full Name *

Role / Official Title *

Contact Email Address *

Direct Phone Number *

Supporting Documents

Business Registration Document *

Upload Supporting Document

Accepted file formats: PDF, JPG, PNG (Max 5MB)

Medical Facility Operating License *

Upload Supporting Document

Accepted file formats: PDF, JPG, PNG (Max 5MB)

System Integration

Name of Current Software / Vendor

Estimated number of staff users *

Estimated patients processed per month *

Request Bridge Agent client synchronization support

Governance Agreement

Review Application Information Please double-check all organization licenses, registry coordinates, and contact emails before submission. Applications are audited manually by OpesCare medical records governance staff.

I confirm that all information and files provided are accurate. *

I understand that OpesCare will review and manually verify this application before activating the account. *

I agree to the Terms and Conditions *