Create an Account

As a recommendation, use the first part of your LCMC email address as the username and the same password associated with your email. Any emails other than emails may require approval.

Please fill out the information below and click the "Create Account" button.

General Information

* First Name is Required
* Last Name is Required
* Username is Required
* Location is Required

Additional Information

Your Manager or Director Name is Required
Department Name is Required
Your Manager or Directors Email Address is Required
Hospital or Facility Name is Required

Address Information

* Address 1 is Required
* City is Required
* Country is Required
* State or Province is Required


At least 7 characters
At least 1 number
At least 1 uppercase letter
Not allowed symbols (& or #)
(suggested) 1 symbol
(suggested) 12 characters
* indicates required fields