Request access to the clinician workspace.

Beta access requests are reviewed before a clinic workspace is created.

Clinic first

Clinic and clinician profiles provide the workspace and tenant context.

User minimal

App users can remain UUID-based while beta workflows are tested.

Review only

Outputs support review and documentation. Clinical decisions remain with the clinician.

Submitting this form does not automatically create a live clinic tenant. Requests are reviewed before workspace setup.

Request access

Clinic and clinician details

Share enough information to review the beta request and prepare the right workspace structure.