Register

You must agree to the Declaration and Terms of Use before you can register.
All fields are required. If you do not have anything to enter (i.e. no fax) then merely put "none" or similar in the field.

You can fill out the following form to request a registration to this website. Only businesses need to register on myHealth. The form will email you back to confirm that you have entered the correct email and also to prevent anyone from adding email addresses other than their own. An administrator from the website will also be notified of your registration. You can then login and access enhanced functionality on the website.

Registering will mean that your contact details will be publicly available in the business directory.

Business Entity Type

Company
Individual
Partnership
Trust

Company

Registered Name:
Registered Number:

General Business

Trading Name:

Business Categories

Manufacturer
Supplier

Importer
Retailer

Raw Material Producer
Raw Material Refiner

Practitioner
Other

Retailer Type (if applicable)

Chemist
Health Food Shop

Supermarket
General Goods

Practitioner Retailer
Other

Business Contact Details

Street Address:
Postal Address:
Phone:
Fax:
Contact Name:
Email Address:

Declaration of Intent to Act Honestly In applying to become a registered user of the myHealth website I/we agree to act honestly and in the best of faith in relation to the site and users of the site at all times. I/We shall enter accurate, complete and up to date information at all times and to the best of my/our ability and promptly maintain such information as required. I/We further agree to protect and keep safe our log-in code and password and to only disclose the same to representatives of the business who are authorised to enter, amend or delete information for my/our products on this site. I/We will provide and display all information in a manner that is not misleading or deceptive or is not likely to be misleading or deceptive in any way either to myHealth or visitors to the site.
I/We Agree