DocCheck ®
DocCheck Password Protection for your Website
If you like to apply for DocCheck Password Protection on your website, this is the right place to do so.

Installation of Password Protection is easy and the standard DocCheck Password Protection is free for the website's provider. Once you have filled out the form below, we will send you an e-mail containing a link to the HTML code that you integrate into your Website. In a second message you receive a personal username and password providing access to the webmaster lounge.

The DocCheck Webmaster Lounge not only allows you to administer your website completely online but you can find out interesting details about the visitors of your website in the sections Statistics and Benchmarking as well. Have a look around at http://lounge.doccheck.com.

For a comprehensive technical description of the DocCheck Password Protection, please click here. Please also note our Terms of use for website providers.

This application consists of two pages. Please indicate a contact person at your company on the first page. On the second page, you may indicate a contact at the agency that integrates the HTML code into your website. We will send the HTML code to both e-mail addresses if necessary.

For further information about how to fill in this form, please click on the question marks.

(*) = necessary data

Online Application Form - Owner of the Website
Title:
 
First name:
 
Last name: *
 
Gender: *
male female
 
Company Address
Company name: *
 
Street:
 
Zip/postal code:
 
City:
 
Country: *
 
E-mail: *
 
Phone:
 
Fax:
 
Technical notes
URL homepage: *
 
URL login page: *
URL first page of protected area: *
Selection of professional groups
Physicians & pharmacists
Students
Employees of the pharmaceutical industry
 
Other professional groups
Terms of use

Please read our terms of use before finishing your application. Upon receiving your application, we will contact you to place a contract with the provider of the website. The content of the contract largely corresponds to the terms of use.
I accept the terms of use.
 
     
[* = required information]