38/39 Old Bakery Street, Valletta VLT1454 - Malta EU
tel: +356 21225647 mob: +356 99421164 web: www.jco.com.mt
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Ophthalmic Practitioner - Profile Registration
Your request will be considered. A password will be issued once your credentials meet the requirements as outlined by the Data Protection act. This password will give you access to patients ophthalmic records as recorded in our database.
* Name
* Title
* Surname
* Credentials
* Address
* City
Post Code
Telephone
Mobile
* Email
* ........ = Essential Fields