Customer Portal Registration | HealthyPC

was successfully added to your cart.

New Customer Onboarding Registration

Company Overview

Please complete the following questions to start your Business onboarding with HealthyPC
If you have any questions or queries please reach out to our team (08) 9200 6145

Company Name*

Trading Name*

Phone Number*

Fax Number*

Website*

Registered ABN | ACN *

Operating Address*

City*

State*

Country*

Post Code*

Main Customer Contact

Full Name*

Phone Number*

Mobile Number*

Email address*

Department / Role*

Main Customer Billing Contact

Full Name*

Phone Number*

Mobile Number*

Email address*

Department / Role*

Security Questions

Security Question 1*

Security Question 2*

Security Question 3*

Security Answer 1*

Security Answer 2*

Security Answer 3*

Choose Your Organization Key

The Organization Key acts as your company's final layer of data security, ensuring not even PassPortal can access your company's encrypted data. Every user in your organization must know and use this key, in combination with their username and password, to log in to PassPortal. Consider using a lengthy but memorable passphrase as your key.

Organization Key*

How did you come across HealthyPC

Please Select*

Who Referred You?

Other

Are you human?*

This field should be left blank