Account Registration

Dunbar Medical offers professional pricing to healthcare professionals, pharmacies and other retail outlets but not to the general public. Should you wish to be considered for an account with us, please complete the registration form below. We will evaluate the information you provide and respond as soon as possible.

Name*
First Last
Email*
Password
Enter Password Confirm Password
Please indicate whether you wish to buy as a Healthcare professional, a Business Owner or as an individual.*
- HealthCare Professional
- Pharmacy or Home Health Care Store Owner
- Other Business Owner
- I wish to buy as an individual
Dunbarmedical.com is open only to Healthcare Professionals or Business Owners. Please check the appropriate box above to indicate whether you are a Healthcare Professional or a Business Owner. If neither, please check the fourth box.
If you are a Business Owner, please indicate the Business Name
Your Professional Affiliation
If you are a HealthCare Professional, please indicate your professional affiliation (e.g. Member of Ontario Physiotherapy Association)
Business or Professional Website
Your Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Fax Number
Mobile Phone
Pharmacy Buying Program*
We provide discounts for pharmacies and Home Health Care stores who are participating in the PharmaSave or Drug Trading-Home Health Care programs. Please indicate here whether you are a member of either of these programs.
Please let us know how you heard about Dunbar Medical*
Are there any products that you would particularly like to see on this site?
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.