PharmaNet signup form

Contact us | Help
604-737-1477    1-800-737-3771


New to PharmaNet? Sign up Here . . .

Thank you for your interest in Medinet Access to PharmaNet. Please complete the form below and we will contact you to gather a little more information. Then we will manage the MOH application process for you.

All information entered is kept confidential and will not be shared with third parties.

You will be given an opportunity to enter more physicians after you click on the send button.

Practice Details

Practice name



Postal code



Personal Details

Last name

First name

Middle name


College ID

License renewal date

Class of registration

MSP number

Practitioner's Personal Email
(for security reasons)

Practitioner's Mobile #
(for two factor security only)

All fields except middle name are required

Send info to Medinet Start over

You can reach Medinet in Vancouver at 604 737-1477, toll free at 1 800 737-3771, or send us an email message.


Copyright Medinet Health Systems Inc. 2015