Doctor Enrollment - Health Professionals for Online Advice

Name & Email Address

Name*

Email Address*

1. Enroll as a doctor/professional for free.
2. All details are encrypted for safety & data protection.
3. Please give an active email, so we can follow up with you.
4. Please attach 2 documentary evidence.
5. Paypal account information speeds up the transaction of fees.
6. Please contact us for any further details or information.

*Required Fields

Fill Personal & Proffesional Details

Gender*

Male Female

Date of Birth*

Qualification*

Specialisation*

Experience*

Your Consultation Fees*

Phone Number*

Address:- *

Clinic Detail

Available Time*

Biography

Known Language*

How did you find us?

*Required Fields

Fill Bank Details

We need these details to transfer money to you.

Paypal Email ID (Optional)

Bank Details (Optional)

Medical Certification or Medical Qualification or Medical Licensing (Any 2 Documents are Required)

Profile Photo (Optional)

I Accept the Terms & Conditions and Privacy Policy

*File size must be less than 10 MB.
*All details are encrypted for safety & data protection.
*Please contact us for any further details or information.
*Please check your spam folder, just in case.

Doctor/Medical Professional Registration For Online Doctor Consultation