Registration

This registration portal is only for the use of authorised healthcare professionals who have received this link directly from Pfizer. Please read Pfizer's Privacy policy at the link on the bottom of this page.

Denotes mandatory field

Title

First Name

Last Name

Email Address

Confirm Email Address

Password

(Your password must be at least 8 characters and contain at least one number and one letter.)

Confirm Password

Provider Number

You can find your Provider Number here - https://www.mcnz.org.nz/registration/register-of-doctors/

Speciality

Pfizer Drug Requested

Hospital/Practice

Address Line 1

Address Line 2

Suburb

City

Post Code

Preferred Contact Number

(Provide preferred contact number including area code without spaces or special characters.)

Alternate Contact Number

(Provide alternate contact number including area code without spaces or special characters.)

I consent to my personal information being collected, used and disclosed by Pfizer and its nominated third-party service providers for the purpose of administering Enbrel®, in accordance with Pfizer's Privacy Policy.

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