Medica 3rd Party App Registration

Member-facing application name (What members see as name of app)

Select all the resources your application will access

Patient Access (Browser/Mobile/Desktop Application)

Providers/Organization

Company legal name

Company legal physical location address

Primary contact name

Primary contact title

Primary contact email

Primary developer name

Primary developer title

Primary developer email

API Redirect URI

Application privacy policy URL

Application terms of service URL

Client logo URL

Do you agree to Medica Terms of Use?

Yes