Medisafe can be used without creating an account. However, it is the only way to backup your data and keep it from being accidentally deleted when switching phones or uninstalling our app, losing your phone, etc. Therefore, we highly recommend you to do so.
To create an account, please tap on your avatar on the top left-hand side to open the side menu and click on your avatar once again. Then click on the "Sign-up" button at the bottom. Complete your details and tap 'Sign up'. Enter your email address and a password and then confirm your email address via your email. Once your email is verified, an account would be created.
You can watch this video on Accounts for more information.
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