Hospital Admin Registration

Register your hospital to verify patients and manage campaigns

Hospital Name *

Hospital ID * Choose a unique ID for your hospital (letters and numbers only)

Hospital Address *

Hospital Phone * Cameroon phone number (9 digits starting with 6)

Admin Name *

Admin Email *

Password * Must be 8+ characters with uppercase, lowercase, number, and symbol

Confirm Password *

Verification Code * Contact CancerCare admin to get your verification code

Register Hospital