Register

Name
Username* Choose any easy to remember username. You will use this to login.
First Name*
Last Name*
Nickname*
Contact Info
E-mail*
Website
About Yourself
Biographical Info Share a little biographical information to fill out your profile. This may be shown publicly.
Password* Choose a password you will easily remember
Repeat Password* Type your password again.
Practice Name* Name of the Dental Practice you are registering for.
ABN*
Notice After you click the Register button below, Ray will manually approve your account. You will then receive an email advising your account is active and you can login and submit prescriptions.