Partner Registration Blood Request View Collection Request Collection Request List Create Clinic User Register as a Partner To register as a partner, please complete the partner registration form. Your application will be reviewed and approved by our Commercial Director. After approval, you will be able to request blood tests for your clients. Partner Registration Partner Details Business Type * ClinicPharmacyPhelbotomistHealth Club Partner Name * Business Address * Business Address Business Address Business Address Town/City Town/City County County Postcode Postcode Business Address Partner Contact First Name * First Last Name * Last Contact Telephone * Email Address * Enter Email Confirm Email Address * Confirm Email Password * eye_icon eye_slash_icon cancel1 check1 Eight characters minimum cancel1 check1 One lowercase letter cancel1 check1 One uppercase letter cancel1 check1 One number cancel1 check1 One special character Enter Password Confirm Password * eye_icon eye_slash_icon Confirm Password Clinic Data Are you registered with the Care Quality Commission? * Yes No Regulatory Membership ID Number (GMC, GDC, NMC, GPC, HCPC) * Payment Options Invoicing & Payments Tests can be requested by: Paying on-line in advance On Account with 21 days payment terms If you wish to pay on account, please select Yes under Do you require Credit Terms?. Then complete the Credit Check Form below, along with your finance department. If you are happy to pay at the point of request, please speak to our team regarding set-up and the additional benefits available. Do you require Credit Terms? * No Yes Credit Check Information WML reserves the right to Credit Check all new account applications prior to extending credit payment terms. By completing this information you confirm that you have read and understand this statement. Company Name Use Clinic Address? Yes Registered Address Registered Address Registered Address Registered Address Town/City Town/City County County Postcode Postcode Registered Address Director(s) Names Visual Code Company Registration Number Accounts Payable Email Accounts Payable Phone WML - Admin Section The following steps are needed to successfully approve a partner; 1. Create Partner in Xero. 2. Use the Xero ID in the Unique Ref ID: 3. Change Partner Approval Status to Approved 4. If they've been approved for Credit Terms choose Yes and complete the Approval Date. 5. If they've been given a discount percentage add this into their discount field. Approved for Credit Terms Yes No Register If you are human, leave this field blank.