Register for a Refuge Medical Clinic User Account

When you provide the information requested below, an online account will be created. Once you successfully create an account and it becomes verified by an administrator, you can log in at any time using your email address and password.

To participate in the Refuge Medical Clinic, you must agree to the following terms and conditions:

Enter your personal details below as completely as possible. The Refuge Medical Clinic will not give out or sell the information submitted. A valid e-mail address is required.