Join EEG Expert — Sign Up for Therapists

Joining EEG Expert is easy. Welcome onboard!

Create Your Account

Information
Signing up for an account allows us to track usage for billing purposes. An account also allows you to have a private area within the expert for your own reports and data, this way you can always come back to review old reports, print them again later, and even automatically compare retest data with client data that is already stored in your account. Security is of the highest concern, and we have taken many precautions to protect your clients confidential information. This is also reflected in our password generation procedure, which is designed to prevent simple password guessing and other hacking.

What happens after you fill this out?
Your account is activated right away: you can log in with the username and password you choose below. Credits are purchased online through our secure checkout partner. We will never ask you for credit card details by email.

Instructions
Please fill out all the fields below, then click the "submit" button at the end of the page.
Fields marked with a "*" are required.

First Name *
Last Name *
Title		(e.g. Mr, Ms, Dr...)
Company

Preferred username for login *	Invalid character removed! Only letters (a-z) and numbers (0-9) allowed.	(RULES: 6 to 9 characters, no spaces,-,_ ; 'mrabc', we suggest you use your first initial and a couple of letters of your last name, or a username you frequently like using, we will check to avoid duplicates in our system, do NOT use spaces!)
Password for login *		(e.g. 'bird8493', 6-10 letters, and a combination of letters and numbers, please no names or birthdates, please make a note of your user name and password)

Email *
Street and number *		(e.g. 461 Ocean Blvd.)
City *
State		(e.g. CA, NY, FL,..)
Zip *
Country *

Phone *
Alternative phone		(e.g. mobile)
Fax

Optional Comment		Optional
Project		Optional

"I accept the user agreement of EEG Expert."	Yes	If you agree, click 'Yes'()


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