Welcome to Patient Registration Page

We are excited to have you join our community.

Are you a Patient or a Family Member? *

First Name *

Last Name *

Mobile *

Email *

Country *

State *

City *

Type of Myositis *

Gender *

Age *

Doctor's Name *

Password *

Confirm Password *

Tell us about yourself

Share your story, concerns, or what you hope to gain from this community. *

This small question helps us protect the form from spam. *

6 + 6 = ?

I accept the terms and conditions of Myositis India. *