Account Registration

Use the forms below to create or update the information we have on file for your account

Contact Information Kindly fill out the form below:
Full Name * First Name Middle Name(Optional) Last Name
Email Address *
Company *
Account Number *
Contact Number
Data Privacy Consent Your Privacy Matters The information you provide through this Customer Assistance Platform will be used by Intellicare to understand and help resolve your complaints, concerns, inquiries, or escalations relating to Intellicare services. We may ask for your Account Number, Name, Surname, Middle Name, Company, Enterprise ID, Employee ID Number, and details of your concern. These may be shared with authorized Intellicare and Accenture personnel, and other parties involved in resolving your concern, when necessary. We will keep your personal information secure and handle it in accordance with the Data Privacy Act of 2012 (RA 10173) and applicable privacy and security policies. For more information about how Intellicare handles your personal information, please see our Privacy Statement on our website: Intellicare Privacy Statement https://site.intellicare.com.ph/wp-content/uploads/2026/04/Intellicare-Privacy-Statement.pdf By submitting this form, you confirm that you have read and understood this Privacy Notice
Agree * "I confirm that I have read and understood the Privacy Notice below and consent to the processing of my personal information."
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Access Credentials
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