Technician Information
Name
FirstName LastName
FirstName LastName
Email
Email
Phone #
Enter Phone #
Enter Phone #
Portrait-Style Photo
Upload Photo
Upload Photo
Certification #
AA-123456-123456
AA-123456-123456
For Direct Deposits
Bank Routing #
Enter Routing #
Bank Routing #
Enter Routing #
Bank Account #
Enter Account #
Enter Account #
Mailing Street Address
Enter Street Address
Enter Street Address
Mailing City
Enter City
Enter City
Mailing State/Province
Enter State
Enter State
Postal Code
Enter Postal Code
Enter Postal Code
Mailing Country
Select Country
United States
Canada
Select Country
United States
Canada
The Technician's Certification # will be unique in the format:
AA-123456-123456 (2 letters followed by to sets of 6 digits separated by dashes)
The Certification # will be issued manually (external to app) by the OptiHealth Institute when the Tech passes the Med-Fit Tech Certification Course.
AA-123456-123456 (2 letters followed by to sets of 6 digits separated by dashes)
The Certification # will be issued manually (external to app) by the OptiHealth Institute when the Tech passes the Med-Fit Tech Certification Course.