WELCOME

We received your request to open an account with TruDiagnostic.

Thank you for the opportunity to assist you with your compounding needs.

*Please follow the five simple steps to set up your account.

CLINIC INFORMATION

Organization Name:
Clinic Name:
NPI:
Address:
City:
State:
Zip Code:
 

OFFICE CONTACT INFORMATION

Contact First Name:
Contact Last Name:
Email:
Practice User Name:
Practice Password:
Confirm Password:
Clinic Phone:
Fax: