Healthcare Facility Registration

This creates a facility and the first Super Admin.

Super Admin

Primary administrator account for this facility.

Admin Email

Admin Password

First name

Last name

Phone

Core information about the healthcare facility.

Name

Facility Type

Controlled By

Country

State

LGA

Address

Official contact details and registration data.

Facility Email

Facility Phone

Registration Number

Total Bed Capacity

NHIS Approved?

NHIS Number

Upload facility credentials (PDF/JPG/PNG). Add multiple as needed.

Kind

File

Your data is protected with industry-standard security.