| Name | Description | Type | Additional information | 
|---|---|---|---|
| Username | Health professional username (application username) | string | Required | 
| Name | Health professional name | string | Required | 
| LastName | Health professional surname | string | Required | 
| HealthProfessionalCode | Health professional code or stamp number | string | None. | 
| AcademyName | Health professional academy name (signature) (example: Dr.Sc.Med. Name Surname) | string | None. |