| Name | Description | Type | Additional information |
|---|---|---|---|
| UserId | string |
Required |
|
| HearAboutUs | string |
Required |
|
| HearAboutUsOther | string |
None. |
|
| IsAgreeTNC | boolean |
None. |
|
| IsAgreePharmacyNomination | boolean |
None. |
|
| IsAgreeToAccessSummaryRecord | boolean |
None. |
|
| FirstName | string |
None. |