Partner Registration

Join Our Life-Saving Network

Complete the registration process to become a certified healthcare partner and start coordinating blood donations in your community.

Registration Process

Our thorough verification process ensures all partners meet the highest standards for patient safety and care.

1. Submit Application

Complete the registration form with your organization details and credentials.

2. Verification Process

Our team verifies your credentials, certifications, and compliance status.

3. Account Activation

Once approved, receive access to your partner dashboard and start saving lives.

Partner Registration Form

Please provide accurate information about your organization. All fields marked with * are required.

Organization Information

Organization Name *

Organization Type *

Registration Number *

Tax ID (Optional)

Website (Optional)

Organization Description *

Primary Contact Information

Contact Person Name *

Position/Title *

Email Address *

Phone Number *

Organization Address

Street Address *

City *

State/Province *

ZIP/Postal Code *

Country *

Account Credentials

Password *

Confirm Password *

I agree to the Terms of Service and Privacy Policy. I confirm that all information provided is accurate and that my organization meets the requirements for healthcare partnership. *

I would like to receive updates about platform features, emergency alerts, and community events via email.

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What Happens Next?

Application Review

Our team will review your application within 2-3 business days and may contact you for additional information.

Verification Process

We'll verify your credentials, certifications, and conduct any necessary compliance checks.

Account Activation

Once approved, you'll receive login credentials and access to your partner dashboard.