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Administrator e-mail *

Clinic name *

Tax ID *

First name *

Last name *

I work as a solo doctor One account combining roles: clinic admin + doctor + nurse + reception. Untick if you plan to add other accounts (nurse, reception) in this clinic.

PWZ number (Right to Practice the Medical Profession) *

Required for solo mode — enables issuing medical certificates from your account. Format: 7 digits (from the PWZ document issued by the Polish Chamber of Physicians).

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