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Ordering Portal Registration – Required Steps

To gain access to our ordering portal, all customers must complete the following steps:

Please ensure all fields are completed accurately and in full.
Incomplete or incorrect information may delay approval.

As part of the approval process, you must email the following documents to compliance@alfietherapeutics.com:

• Current MAP Number(s)
• Current SAS-B Number(s)
• Pharmacist's current AHPRA Registration Certificate

Please include the pharmacy or dispensary name you are registering on behalf of in the email subject line.

These documents are required to be received and held on file before ordering access can be granted.

Your Personal Details

First Name

Last Name

Email Address

AHPRA Registration Number

Pharmacist Name

Your Company Details

Company Name

Pharmacy ABN

Your Address

Street Address

Suburb

Postcode

State

Country

Your Contact Information

Telephone Number

Fax Number

Your Password

Password

Password Confirmation

Security Verification