REGISTER AS A NEW REFERRING DOCTOR

Register your interest below to start referring your work to Histopath.
This form must be filled in by the requesting doctor; the practice manager or clinical coder on behalf of the doctor.
This request requires call-back confirmation in order to complete the registration.

Please fill in all the fields below and Histopath will be in touch with you within 2 working days.
Fields marked with an asterix(*) are mandatory.


*For registration and security
*For registration and security

Selected Value: 1

We offer NO-GAP and Bulk-billing to your patients

Once your application has been received our team will reach out to you
to complete the registration process within 2 working days.