Doctors Onboarding Form

Name

Specialization

Gender

Male

Female

Other

Experience

About Yourself

Medical Registration

Registration Number

Registration Council

Registration Year

Educational Qualification

Degree

College/Institute

Year of completion

Connect a Practice

Please select any one of the following

I own an establishment

I visit An Establishment

None

Establishment basic details

Establishment name

City

Locality

Medical Registration Proof

Welcome! To proceed, please upload your medical registration proof to verify your credentials.

Media Upload

Instructions:

1. Ensure the document is clear and legible.

2. Accepted file formats: PDF, JPEG, PNG (Max file size: 5MB).

3. The document should display:

Your full name
Medical registration number
Issuing authority details
Validity period (if applicable)

Identity Proof

To complete your onboarding, please upload a valid identity proof for verification.

Media Upload

Instructions:

1. Ensure the document is clear and legible.

2. Accepted file formats: PDF, JPEG, PNG (Max file size: 5MB).

3. Accepted identity proofs include:

Passport
Aadhar Card
Voter Card
Driving License

Location Details

State

City

Area

Address

Pincode

Availablity

From

Fees