DHR SPACE

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DHR SPACE

Secure Access Portal

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DHR

Join as a Service Provider

Register your medical facility on DHR Space Platform

Personal Information

First Name

Last Name

Email Address

Phone Number

Position/Title

Facility Details

Facility Name

Facility Type

Facility Description

Medical License Number

CAC Registration Number

Full Address

City

State

Postal Code

Website (Optional)

Services & Documents

Services You Want to Offer

Laboratory Tests Blood Tests Medical Imaging Consultation Emergency Care Pharmacy Vaccination Health Screening

Supporting Documents

Upload your certificates, licenses, or other supporting documents

PDF, JPG, PNG files up to 5MB each

How did you hear about us?

Additional Information

Review & Submit

What happens next?

Your application will be reviewed by our team within 2-3 business days
You'll receive an email notification about the status of your application
Once approved, you'll receive login credentials to access your provider dashboard
You can then complete your full profile and start offering services

I agree to the Terms of Service and Provider Agreement * I agree to the Privacy Policy and consent to the processing of my personal data *

Need assistance?

Contact our support team