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Last Name *

Name of Practice *

Email *

Street Address *

City *

State *

Postcode / Zip *

Country *

Phone Number *

Password *

Specialty/Practice Type *

Berkeley Life Professional is exclusively sold through Healthcare Practitioners. In order to activate your account we will need a copy of your practitioner license.

Please use the below fields to upload required files (accepted formats: jpg, gif, pdf, png).

Upload Your Practitioner License (Max file size 10MB) *

Drop your file here or click here to upload You can upload up to 1 files

Register CD

Register to View Clinical Assets

Available exclusively through licensed health care practitioners

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