Doctor Registration
Join our healthcare platform
Basic Information
Name
*
Email
*
Phone
*
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Password
*
Date of birth
*
Gender
*
Male
Female
Other
Professional Information
Name as per MBBS Certificate or Passport
*
Specialization Details
*
Medical Council Registration Number
*
Year of Registration
Years of Clinical Experience
Contact & Location
Contact Number 1
*
Contact Number 2
Current State
*
Select from Google Places suggestions
Current City
*
Select from Google Places suggestions
Languages Spoken
Required Documents
Medical Registration Certificate
*
Upload PDF or image file
Aadhar / PAN / Passport
*
Identity verification document
Professional Photo
JPG/PNG format (for patient profile)
Clinic Logo
Optional - if applicable
Practice Preferences
I offer in-person consultations
I offer home visits
Preferred Teleconsultation Timings
*
Certified in India's Telemedicine Practice Guidelines (2020)
*
Profile & Revenue
Short Bio for Patient Profile
*
This will be displayed on your patient-facing profile
Revenue sharing preference (75:25 - 75% for Doctor)
*
I agree to the
Privacy Terms & Consent Form
*
Complete Registration
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