PRACTITIONER
REGISTRATION
REGISTER AS A DAPHNE POINT™
COMPLETE FORM 93 – CANADA
STEPS
1.Complete and sign online Form 93 below to become a
2.You will receive an email from Adobe Sign.
Click on the link in the email to confirm your signature/email address.
Click on the link in the email to confirm your signature/email address.
3. A copy of your signed Form 93 will automatically be emailed to you and Fresh Start™.
4. A Fresh Start™ team member will contact you with information regarding:
- Test Menu/Price List
- Procedure for Ordering
- Test Kits (no charge) | Direct Patient/Client Dropship Orders
- Test Interpretation Information, etc.
Please don’t hesitate to contact Fresh Start™
We look forward to working with you!