Prescriber Identity Proofing

You have been invited to complete the identity proofing process prior to electronically prescribing in CirrusMED via our partner Newcrop.

To begin the process, please follow the provided instructions to undergo identity proofing.

If you would like to view a brief demonstration on how to complete this process, click here to watch this brief instructional video.

If you have any further questions, please contact support.

Cirrus Medical Network
10627 Professional Cir, Ste A
Reno, NV 89521
702-690-9711
support@cirrusmed.com

Part 1: Credit Card Validation

To verify an individual prescriber, Cirrus Medical Network will collect the individual provider's credit card number and, after a 2-3 day waiting period, create a nominal charge which will be refunded.

To start the process, please complete the Paypal/credit card purchase, then come back to this page to verify the charge:

Click on the "Verify by Credit Card" button to report the nominal charge on your credit card statement.

Verify Credit Card Charge

Step 2: Credential Issuance by Mail

The second step of identity verification is via mail. Cirrus Medical Network will mail a PIN# to the individual prescriber's home address of record (e.g. credit agency; governmental agency, if permitted; Verizon; Experian; Equifax' or other non-public source).

Credentials cannot be issued to a phone number of record, an e-mail address, or otherwise provided electronically.

Fill out the following form to have a letter with your PIN# sent to your home of record by mail:

Request CirrusMED e-prescription credentials by mail

Submit "home of record" address.

Please submit your HOME OF RECORD
We will mail a PIN# to your home address of record. Home of record addresses are used by credit agencies, governmental agencies (if permitted), Verizon/ATT, Experian, Equifax, and other non-public sources. Credentials cannot be issued to a phone number of record or an email address.
Date
MM slash DD slash YYYY
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Email
Home Address of Record Evidence*
Max. file size: 256 MB.
Please upload a copy of a document showing your home address of record such as a utility bill, credit agency, governmental agency (if permitted), Verizon/ATT, Experian, Equifax, and other non-public sources.

Upon receipt of the PIN# in the mail, you may submit that number electronically by clicking on the button below "Submit my PIN"

Submit My PIN#