To register with Breakspear Medical please complete the form below:

Applicants must be at least 18 years of age to register for an account.

1. About you

2. Your login details

3. Your account type

Account types

There are three types of account. Explanations of each are shown.

Registered customer

Select this option if you simply wish to purchase from our website.

Breakspear Medical patient

Select this option if you are an existing patient of Breakspear Medical and enter your patient number which is on your estimates.

Note: Patient accounts are subject to a verification period of approximately 1-3 working days.

If you cannot find your patient number, please email your request to liaison@breakspearmedical.com.

Registered Practitioner

Professional Practitioners only

Note: New Practitioner accounts are subject to a verification period of approximately 1-3 working days.

4.1 Billing address

4.2 Delivery address

5. Confirmations