Welcome to Dr. Galen

Start your own virtual practice with Dr. Galen and consult patients over video, phone, and chat.

Doctor Enrollment

1

Registration

Enter details to register
2

Personal Details

Enter your Personal Details
3

Doctor Verification

Upload documents for verification
4

Payment details

Set up payment details

What's your Primary email?*

We'll update you on your consultations and services in this mail.

CountryCode*

Phone Number *

Personalize Your Profile *

Upload

Upload Photo

Profile Photo Supported File format JPG,PNG,SVG.

Legal Name *

Gender *

Date of Birth *

Qualification *

Specialization *

Sub Specialist

Experience in years*

Experience *

Your Consultation Fees *

Address 1 *

Address 2

Country *

State *

City

ZIP Code

Clinic Detail

How did you find us? *

Doctor Verification*

Please provide the details below :

Attach the documents shown below

Medical Certification
Medical Licensing

Medical registration number (License) *

Document 1 *

Upload

Document 2 *

Upload

Payment Details

We need these details to transfer money to you.

Paypal Email ID (Optional)

Bank Details (Optional)

Name In Bank

Account Number

Sort Code

ISBN

Bank Name

Address

Country

State

City

Welcome to Dr. Galen

Doctor Enrollment

Registration

Personal Details

Doctor Verification

Payment details

What's your Primary email?*

We'll update you on your consultations and services in this mail.

Personalize Your Profile *

Profile Photo Supported File format JPG,PNG,SVG.

At what time will you be available? *

Your availability will be displayed on your profile

Doctor Verification*

Please provide the details below :

Payment Details

We need these details to transfer money to you.