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What kind of information do I need
to provide at registration?

Our simple step-by-step registration process requires the following information:

• Name
• Valid form for authenticating used your status as a physician or other medical professional.
  • Impact Research issued user name
  • DEA Number
  • Medical Education Number
  • Impact Research issued registration code (used for medical professionals who do not have a DEA or ME number)
• Primary Office Address
• Honoraria Mailing Address (optional)
• Office Phone and Fax Numbers
• A brief description of your practice type
• Your Specialties

You will then select your personal Username and private Password and select a Hint question (to assist us if you ever lose or forget your password).

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