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Create an Account
Your Free RxPinoy Account gives you access to University of Perpetual Help Dalta Medical Center and other RxPinoy Network services. If you already have a RxPinoy Account, you can sign in here.

Personal Information
First Name
Last Name
Primary Email
Secondary Email

-> This address is used to authenticate your account should you ever encounter problems or forget your password. If you do not have another email address, you may leave this field blank.
Location
Account Information
Username

-> 4 to 20 Alphanumeric Characters.
Password

-> 8 to 16 Alphanumeric Characters
.
Confirm Password

-> Make sure your password matches.
Security Question

-> If you forget your password we will ask for the answer to your security question.
Security Answer
For Medical Tourists
If you are ready to travel, kindly complete the following fields. Other users may skip this part.
Phone Number/s

-> Please enter your landline and/or mobile phone numbers complete with country code and area code. If you have more than one number, separate them with spaces.
Complete Address
Preferred Booking Date
Word Verification
Type the letters you see on the picture.


-> Type the characters exactly the way you see in the picture (Case-Sensitive). This security measure prevents automated registrations. Please refesh this page to get a new image (note: refreshing the page may also reset the form).
Terms of Service
By clicking the button below, you agree to the RxPinoy Terms of Service.
Submit Your Application

 

 
 

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