Register

Please use the form below to register a new account. Or you can Sign in with your existing Yellow Card account.

Are you a member of the public or a healthcare professional?

Title

First Name

Last Name

Address line 1(Optional)

Address line 2(Optional)

Town/city(Optional)

County(Optional)

Postcode

Telephone Country Code(Optional)

Telephone Number(Optional)

Telephone Extension(Optional)

Please select the one method you would prefer us to contact you with. If you select more than one, then you will receive information through each method selected.

Email: if you don’t get an email after reporting please check your junk or spam folder.

Set Password

Confirm Password

Your password must:

Have at least one capital letter
Have at least one lower case letter
Have at least one numeric character
Be at least 9 characters or more long

By signing up for an account, you agree to our privacy policy and confirm you are over 13 years of age or have consent of a parent or guardian.