Register your organization with OpesCare

Organization Category *

Is this organization already using clinical or administrative software?

Yes No

Does the organization require backend API integration?

Yes No

Organization Legal Name *

Trade / Operating Name (If different)

Company Registration Number *

Clinical Facility License Number *

Physical / Postal Address *

Primary Contact Phone *

Primary Public Email *

Primary Contact Full Name *

Role / Official Title *

Contact Email Address *

Direct Phone Number *

Clinical Options

Outpatient care Emergency care Inpatient care Laboratory Pharmacy Imaging/Radiology

Prescription dispensing Medicine availability Medication reservation Insurance billing

Sample collection Result entry Result validation External lab integration

Eligibility checks Preauthorization Claims processing Provider network

Default Safety Disclaimer.

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)

Name of Current Software / Vendor

Estimated number of staff users *

Estimated patients processed per month *

Request Bridge Agent client synchronization support

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 *