Prescriber Registration - Teleta Pharma

Please ensure you have created an account at Teleta before you apply to be a Prescriber. Click here to create an account

Please Check Your Spam Folder for Confirmation Email

All new prescribers with Teleta Pharmacy must first register their application on the live form below ‘ Register as a Prescriber’. Once submitted, we will review the application and respond within 48 hours.

Register as a Prescriber

Your Name*
First Last
Email*
Phone*
Prescriber Type*
Registration Type*
Medical Registration Number*
Upload Photo ID (Drivers License or Passport)*
Accepted file types: pdf, gif, png, jpg, jpeg, Max. file size: 5 MB.
Operating Standards Confirmation*
I confirm I am operating within the standards set by my registered governing body
Consent*
Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.

Become a Prescriber

Please ensure you have created an account at Teleta before you apply to be a Prescriber. Click here to create an account

Please Check Your Spam Folder for Confirmation Email

Register as a Prescriber

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