Doctor/Clinic Registration > Doctor's Registration

EmedAsia is an E-Commerce platform where clinic owners can join and purchase items needed for their clinics.

While the General Practitioner clinics market size is estimated at RM5 billion per annum, the pharma market for GP & CP is more than RM3 billion per annum.

Many companies spend huge amount on marketing & brand awareness without knowing who potential buyers are. With doctors in a common platform like EmedAsia many suppliers have shown interest to place their products on this platform with competitive pricing.

Items ranging from pharmaceutical products, consumables, medical devices and other items used in clinics will be sold on this platform starting off with pharmaceutical products and medical devices in this first phase.

The EmedAsia is open to all clinic owners who have a Borang B/F and also to ambulatory care centres.

The registration for EmedAsia is free of charge.

The information and documents required when you register is important for regulatory compliance.

The EmedAsia (no joining fee) is substantially owned by KOOP MMA (Need to fill a membership form and pay subscription fees if interested to join KOOP MMA). However KOOP MMA membership is not a prerequisite to join EmedAsia.

For any queries kindly drop an email to : chairman@koopmma.com or secretary@koopmma.com

Section A: Clinic Details

Basic Information

Email (Unique for each clinic) *

Password *

Confirm Password *

Clinic Name *

Company Name

Clinic Registration No (CKAPS) *

Commencement Year

Operating 24 Hour *

Operation Days Per Week

Clinic Owner (Pemegang Perakuan Pendaftaran in Borang B/F)

Type of Practice *

Type of Services

Company Registration Number (for sendirian berhad / Limited Liability Company)

Please Specify:

Shipping Address (Must be same with Borang B or Borang F)

Address 1 *

Address 2 *

Address 3

Postcode *

City *

State *

District

Person-in-Charge

Full Name *

NRIC (Do not enter any "-") *

Gender *

Male Female

MMC Full Registration No

Current APC No

Phone Landline *

Phone Mobile

Fax

Signature of Person in Charge *

Clear

Section B: Electronic Health Records

Do you have a TPA currently (KOOP MMA is also looking at this possibility in the future):

Yes No

Does the clinic use clinical information/management system?

Section C: Document Upload

Certificate of registration to operate private medical clinic (Borang B or Borang F) *

Drop files here or click to upload.

remove

MMC full registration certificate of person-in-charge

Drop files here or click to upload.

remove

Current annual practising certificate (APC) of person-in-charge (APC 2019)

Drop files here or click to upload.

remove

Acceptance of Terms of Service, Privacy Policy

I confirm that the following facilities are available in the clinic computer, telephone, internet, printer, scanner, and fax machine.

I confirm *

I declare that the information I have given on this form is true and complete and that I have not been convicted or found guilty of any criminal offence in any country.

I declare *

I accept and agree to be bound by the EmedAsia Terms of Service and Privacy Policy.

I agree *

Clinic Operating Day & Time

*

Day	Start Time	End Time

COVID-19 Testing Schedule

Add time slots for COVID-19 Test:

Day	Start Time	End Time	No. of People to Test

Use different time slots for PCR-Testing

Add time slots for PCR COVID-19 Test:

Day	Start Time	End Time	No. of people to test

Public Holiday Settings

Custom Public Holiday Settings:

Public Holiday	Start Date	End Date

Referral

Please enter the referral code here (If any)

Please enter the verification code shown in the box onto the green line below *