Application Payment Billing/Payer InformationThis 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.Download a Step by Step Guide on How to Pay the Registration Fee First NameField is required!Field is required!Last NameField is required!Field is required!AddressField is required!Field is required!ParishField is required!Field is required!CityField is required!Field is required!Bermuda (BM)Afghanistan (AF)Albania (AL)Algeria (DZ)Andorra (AD)Angola (AO)Antigua and Barbuda (AG)Argentina (AR)Armenia (AM)Australia (AU)Austria (AT)Azerbaijan (AZ)Bahamas (BS)Bahrain (BH)Bangladesh (BD)Barbados (BB)Belarus (BY)Belgium (BE)Belize (BZ)Benin (BJ)Bermuda (BM)Bhutan (BT)Bolivia (Plurinational State of) (BO)Bosnia and Herzegovina (BA)Botswana (BW)Brazil (BR)Brunei Darussalam (BN)Bulgaria (BG)Burkina Faso (BF)Burundi (BI)Cabo Verde (CV)Cambodia (KH)Cameroon (CM)Canada (CA)Central African Republic (CF)Chad (TD)Chile (CL)China (CN)Colombia (CO)Comoros (KM)Congo (CG)Cook Islands (CK)Costa Rica (CR)Croatia (HR)Cuba (CU)Cyprus (CY)Czechia (CZ)Côte d'Ivoire (CI)Democratic People's Republic of Korea (KP)Democratic Republic of the Congo (CD)Denmark (DK)Djibouti (DJ)Dominica (DM)Dominican Republic (DO)Ecuador (EC)Egypt (EG)El Salvador (SV)Equatorial Guinea (GQ)Eritrea (ER)Estonia (EE)Eswatini (SZ)Ethiopia (ET)Faroe Islands (FO)Fiji (FJ)Finland (FI)France (FR)Gabon (GA)Gambia (GM)Georgia (GE)Germany (DE)Ghana (GH)Greece (GR)Grenada (GD)Guatemala (GT)Guinea (GN)Guinea-Bissau (GW)Guyana (GY)Haiti (HT)Honduras (HN)Hungary (HU)Iceland (IS)India (IN)Indonesia (ID)Iran (Islamic Republic of) (IR)Iraq (IQ)Ireland (IE)Israel (IL)Italy (IT)Jamaica (JM)Japan (JP)Jordan (JO)Kazakhstan (KZ)Kenya (KE)Kiribati (KI)Kosovo (XK)Kuwait (KW)Kyrgyzstan (KG)Lao People's Democratic Republic (LA)Latvia (LV)Lebanon (LB)Lesotho (LS)Liberia (LR)Libya (LY)Lithuania (LT)Luxembourg (LU)Madagascar (MG)Malawi (MW)Malaysia (MY)Maldives (MV)Mali (ML)Malta (MT)Marshall Islands (MH)Mauritania (MR)Mauritius (MU)Mexico (MX)Micronesia (Federated States of) (FM)Monaco (MC)Mongolia (MN)Montenegro (ME)Morocco (MA)Mozambique (MZ)Myanmar (MM)Namibia (NA)Nauru (NR)Nepal (NP)Netherlands (NL)New Zealand (NZ)Nicaragua (NI)Niger (NE)Nigeria (NG)Niue (NU)North Macedonia (MK)Norway (NO)Oman (OM)Pakistan (PK)Palau (PW)Panama (PA)Papua New Guinea (PG)Paraguay (PY)Peru (PE)Philippines (PH)Poland (PL)Portugal (PT)Qatar (QA)Republic of Korea (KR)Republic of Moldova (MD)Romania (RO)Russian Federation (RU)Rwanda (RW)Saint Kitts and Nevis (KN)Saint Lucia (LC)Saint Vincent and the Grenadines (VC)Samoa (WS)San Marino (SM)Sao Tome and Principe (ST)Saudi Arabia (SA)Senegal (SN)Serbia (RS)Seychelles (SC)Sierra Leone (SL)Singapore (SG)Slovakia (SK)Slovenia (SI)Solomon Islands (SB)Somalia (SO)South Africa (ZA)South Sudan (SS)Spain (ES)Sri Lanka (LK)Sudan (SD)Suriname (SR)Sweden (SE)Switzerland (CH)Syrian Arab Republic (SY)Tajikistan (TJ)Thailand (TH)Timor-Leste (TL)Togo (TG)Tokelau (TK)Tonga (TO)Trinidad and Tobago (TT)Tunisia (TN)Turkey (TR)Turkmenistan (TM)Tuvalu (TV)Uganda (UG)Ukraine (UA)United Arab Emirates (AE)United Kingdom of Great Britain and Northern Ireland (GB)United Republic of Tanzania (TZ)United States of America (US)Uruguay (UY)Uzbekistan (UZ)Vanuatu (VU)Venezuela (Bolivarian Republic of) (VE)Viet Nam (VN)Yemen (YE)Zambia (ZM)Zimbabwe (ZW)- select a country -Field is required!Field is required!Zip/Postal CodeField is required!Field is required!EmailField is required!Field is required!PhoneField is required!Field is required!Additional InformationApplicant First NameField is required!Field is required!Applicant Middle NameField is required!Field is required!Applicant Last NameField is required!Field is required!Type of ApplicationNewRenewalLocum TenensVisiting PractitionerStatus ChangeOtherField is required!Field is required!Profession TypeAllied Health ProfessionalsDental PractitionersDental Hygienist & Dental TechniciansOptometrist & OpticiansPracticing PharmacistPsychologist[{"field":"{type_of_application}","logic":"equal","value":"New","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Profession TypeAllied Health ProfessionalsDental PractitionersDental Hygienist & Dental TechniciansOptometrist & OpticiansPracticing PharmacistPsychologistNon-Practicing Pharmacist[{"field":"{type_of_application}","logic":"equal","value":"Renewal","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Profession TypeDental PractitionersOptometrist & OpticiansPsychologist[{"field":"{type_of_application}","logic":"equal","value":"Locum Tenens","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Profession TypeDental PractitionersPsychologist[{"field":"{type_of_application}","logic":"equal","value":"Visiting Practitioner","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Profession TypeStatus Change to Practicing (within 1 year of registering)[{"field":"{type_of_application}","logic":"equal","value":"Status Change","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Profession TypeRequest for Certificate of Professional Standing (COPS)Request for Registration Certificate (Hardcopy)[{"field":"{type_of_application}","logic":"equal","value":"Other","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Include Renewal Late Fee ($60)[{"field":"{profession_type_renewal}","logic":"equal","value":"135","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Include Renewal Late Fee[{"field":"{profession_type_renewal}","logic":"equal","value":"110","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Include Renewal Late Fee ($140)[{"field":"{profession_type_renewal}","logic":"equal","value":"345","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Include Renewal Late Fee [{"field":"{profession_type_renewal;2}","logic":"equal","value":"Practicing Pharmacist","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Include Renewal Late Fee ($45)[{"field":"{profession_type_renewal;2}","logic":"equal","value":"Psychologist","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Include Renewal Late Fee ($100)[{"field":"{profession_type_renewal}","logic":"equal","value":"250","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Fee amount per applicantThis includes the renewal late fee, if applicable. $0.00Field is required!Field is required!Total Amount$0.00Field is required!Field is required!Continue