Register your practice, pharmacy, or
home care business...
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"Tomorrow's Technology Today" about SIMpill:
SIMpill improves lives.
 Help your patients help themselves.
Register your practice or pharmacy to become a
SIMpill Affiliate.
* First Name:
* Last Name:
* Degree (ie: MD, PharmD, RN)
* Specialty:
* Practice / Pharmacy Name:
* Practice / Pharmacy Address:
* City:
* State:
* Practice / Pharmacy Phone:
* Contact Email:
Comments:
* Request for Affiliation:
* Required
Clinical Technology Advisors will contact you within 5 business days to verify your
information and set up your SIMpill Affiliate account.  

Thank you for considering SIMpill for your patient's compliance management program.  
Please contact us at 1(888) 4-SIMPILL for further information.
Clinical Technology Advisors is the exclusive North American distributor of the SIMpill Medication Adherence System.
Copyright © 2006 Clinical Technology Advisors, Inc.  All Rights Reserved.  SIMpill is a registered trademark of SIMpill (Pty.) Ltd.  All Rights Reserved.


Over 10,000 people world-wide use SIMpill to manage their medication compliance.  Now, we are proud to offer SIMpill
to patients and caregivers through their own trusted doctors and pharmacists.  

A practice or pharmacy with a SIMpill business account is referred to as a SIMpill Affiliate. There is no charge
associated with being a SIMpill Affiliate; however, there are numerous benefits.

A SIMpill Affiliate is provided with free SIMpill patient compliance brochures, order forms, and other materials.  As
patients sign up for the SIMpill device and compliance service using your unique Affiliate-coded order forms, your
practice or pharmacy benefits the following ways:

                         1) Increased patient medication compliance and better health
                        2) Increased prescription refills and persistence
                        3) Provides your practice and pharmacy with a viable, practical compliance solution
                        4) Quarterly rewards for your practice or pharmacy
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