PRACTITIONER
REGISTRATION
REGISTER AS A DAPHNE POINT™
COMPLETE FORM 93 – CANADA
STEPS
1.Complete and sign online Form 93 below to become a
Note:
Scroll down to select your cookie preferences. Click Continue to access the online Form 93.
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!