Register

Register with Physio Roots

You must register prior to claiming or adding a clinic.

Account holder name*
First Last
Clinic Address*
Street Address Address Line 2 City Province Postal Code
Clinic phone*
Alternative phone (ie. account holder phone)
Email*
Enter Email Confirm Email

This will be used to activate your account and can be different than the clinic email.
Clinic name*
Username (used for logging into your account)*
Password*
Enter Password Confirm Password

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Privacy Policy*
I have read and agree to the website privacy policy.
Terms of Service*
I read and agree to the website terms of service.
- I consent to receive email updates (recommended, and you can opt out at any time)
Physio Roots is constantly changing along with the information you can attach to your clinic. This could be anything from new skills and services, to brand new account features. Email updates may also include terms of use and privacy policy and website promotions. Select this if you would like to receive email updates to keep in the loop! Emails occur fairly infrequently and you can opt out at any time.
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