Create Account | Gabriel Ng'ang'a Medicine Support

Patient Registration

Start Your Application

Create an account to apply for verified medicine support. After registration, you will be guided through the application with prescription upload and consent steps.

Create your account Complete the medicine support application Case reviewed before public support

Who can register

Patients with a valid prescription they cannot afford
Caregivers applying on behalf of a patient with consent
Applicants willing to provide documents for verification

Learn about requesting support

Registration form

Create Account & Apply

Account Type

Choose whether you are applying for yourself or on behalf of someone else.

Patient I need medicine support for myself Caregiver I am applying on behalf of a patient

Your Details

Basic contact information for your account and application updates.

First name

Last name

Phone (optional)

Password

Confirm password

After creating your account, you will continue to the medicine support application. Cases are reviewed before being published for donor support.

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Create Your Account

Start Your Application

Create Account & Apply

Account Type

Your Details