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About You

First Name(s) Last Name (Surname) Email Address

HPCSA Prefix

HPCSA Number

SA ID Number

Phone number (Whatsapp is required)

Password Re-enter Password

About Your Practice

Practice Name Practice Number (individual) Practice Number (group) - if applicable Practice Phone Number Address Line 1 Address Line 2 Select Province Please check that the Red Pin is on your location.

Agreement

After my initial free trial periods, I hereby agree to

eNov8 subscription fee of R99.90
eNov8 virtual network fee of R99.90
Cliniweb EHR Usage based fee

I further agree to

to complete a debit mandate for my account to be debited monthly
Agree to be represented by eNov8 Health on matters related to GP practice
Agree to Privacy Policy and Terms and Conditions outlined below

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