PPS Portal for PPS CH

Create a New Account

Use the form below to create a new account.

1. - Account Information

Please choose an Username
First Name
Last Name
Country	Germanyselect
Email address
Password	Passwords are required to be a minimum of 6 characters in length.
Confirm Password

2. - More information

Network(s):

Hospital information

Name & contact

PPS-ID
Hospital name
Contact email address
Website
Phone number
Fax number
KISS-hospital-abbrevation (if present)

Address

Street
Postal code
City
Country	Germanyselect
Region	select

Declaration of agreement
I agree that my personal data be stored, transmitted online and processed by the portal.
I have read and accepted the current data protection directive.
Yes No