MedMerits Clinicians Program™ Member Registration

To register as a member of MedMerits Clinicians Program™ you must be a prescribing Canadian or U.S. medical practitioner.
Membership provides you with unrestricted access to the MedLink® Neurology website in addition to the privileges of regular MedMerits™ membership. To qualify you must be a conventional medical practitioner who resides and practices in Canada or United States.

Canadian and other medical practitioners without a personal DEA number please click here to request a code for the DEA field that will allow you to register. If you have difficulty submitting this form, please write to service@medmerits.com.
* Indicates required information
*First Name
Legal given name, as on local medical license
*Last Name
Legal surname, as on local medical license; do not include degree or title
*Street Address
*City
*State or Province
*Zip or Postal Code
*Country
*Medical Degree
What best describes your medical degree?
*DEA Number
Enter your DEA number (for verification purposes only); click here if you do not have a DEA number.
*Primary Medical Specialty
*Board Certification
Are you board certified in your primary medical specialty?
Secondary Medical Specialty
Board Certification
Are you board certified in your secondary medical specialty?
*Practice Type
Choose the best match
*Practice Setting
In what type of area is your practice located?
*Patient Encounters Per Week
How many unique patient encounters do you have or oversee in a typical week when engaged in patient care?
*Weeks of Clinical Practice Per Year
How many weeks per year are you engaged in patient care in this manner?
*Prescriptions Per Week
How many prescriptions do you typically write or oversee in a week?
*Academic Appointment
Are you engaged in direct supervision of residents or fellows for at least 5 percent of your professional work time?
*Expert Witness Experience
Have you recently served as a consultant to lawyers or as an expert witness/reviewer on at least 2 legal cases per year?
*Email Address
A confirmation message will be sent to this email address, along with instructions on how to activate your membership
*Confirm Email Address
*Username
Usernames must be at least 4 characters long
Screen Name:
If blank, screen name will be the same as username
*Password:
Passwords must be at least 5 characters long
*Confirm Password:
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