Application Payment

Billing/Payer Information

This is an online payment portal that enables the tracking and administration of health professional registration fees. It has the ability to process registration application payments for regulated health professionals. The online payment portal should only be used after your registration application has been submitted. Registration fees are non-refundable. For questions or concerns about the billing and payer information form, contact the Registration Department at hpadmin@gov.bm.
First Name
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Last Name
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Address
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Parish
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City
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- select a country -
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  • - select a professions -
  • Skilled Caregiver
  • Personal Caregiver
  • Family Caregiver
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Zip/Postal Code
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Email
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Phone
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Additional Information

Applicant First Name
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Applicant Middle Name
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Applicant Last Name
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Type of Application
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Profession Type
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Profession Type
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Profession Type
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Profession Type
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Profession Type
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Profession Type
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Fee amount per applicant
This includes the renewal late fee, if applicable. $0.00
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Total Amount
$0.00
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