Health Assessment Application Software Tool (HAAST) Registration Form
FINANCIAL ADVISOR DETAILS
Practice/Business Name
Licensee Name/Dealer Group
Financial Advisor's Name
First Name
Last Name
Email Address (This will serve as your login)
example@example.com
Contact Number
Address
Would you like SG Health to provide you with a copy of your clients’ medical assessment results? If so, the applicant will be asked to sign a Client Authority to Release Pathology and Associated Health Check Results form during their health assessment appointment, authorising SG Health to share the results.
Yes
No
Tell us anything you would like to share with us
Signature
Submit
Submit
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