Registration

First name*
Surname*
NHS email address*
Contact number*
Role*
Please specify role*
Primary centre / surgery*
Other primary centre / surgery name
Primary centre/surgery address*
Primary centre/surgery postcode*
Alliance health centre account number
Additional centres / surgeries
Choose a password*
Confirm password*
We would like to keep in touch with you from time to time by email. Information sent will be non-promotional information relating to supply, administration or safety. If you are happy for us to do this, please tick this box.

You can change your opt in status at any time by following the opt out link on future emails, or by selecting opt out on the 'My profile' page. For further information on how Grünenthal manages your personal data please read our privacy policy.
* Denotes a mandatory field
† Grünenthal will receive an email when you have registered on the site and another email when you have completed and passed the accreditation test

September 2021 M-QZA-UK-08-21-0026