Register - Future Doctors Academy

Registration Form

Please fill in the form below to register.

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Use proper capitalization as this is how it will appear on your certificate should you choose to become certified upon completing the course.
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e.g. GP, Dental, Nursing, Physician Assistant, EMT, Physiotherapy, Pediatrics, etc)
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Check this if you were directed to this website after acquiring one of the Apprentice Doctor Simulation Kits
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