Register Me
Please note that you must already be on our system in order to register to be a user on the website. If you are not currently on our system as a provider, member, employee, broker or brokerage, please contact PROVIDENCE Healthcare on +27 41 3954400.
Please enter your details below. We intend to register all users within 48 hours. Once you have been registered, you will receive an email informing you that you can now log in.
PLEASE make sure you are giving a valid email address.
If we cannot register you, you will be contacted to make arrangements.
Preferred Username (no spaces):
Password:
Email:
Security Question:
Favorite Pet
Mother's Maiden Name
Who was your childhood hero?
Your favorite pasttime?
Your Answer:
Type of User:
Brokerage
Broker
Employer
Provider_Web_Accounts
Member
Issue_User
Please supply your Company Name, FSP Number, CMS Number and Surname: