Doctor Registration Form

Personal Information

Enter with or without country code. Must verify via WhatsApp.

Professional Information

Leave blank if you don't have a license number or it's not required in your region
Multiple Specializations: You can select multiple specializations from the list or type to add new ones. Press Enter or comma to add a new specialization that's not in the list.
Select all your specializations. You can also type and press Enter to add custom specializations.

Education and Certifications

Maximum size: 2MB. Accepted formats: JPG, PNG, JPEG

Hospital Affiliations

Consultation Fees by Type

Enter consultation fees for different appointment types at this hospital
Fee for in-person clinic visits
Fee for video call consultations
Fee for telephone consultations
Note: Leave a fee field blank if a particular consultation type is not available at this hospital. At least one consultation fee is required for each hospital. Currency symbol is shared for all fee types.

Weekly Availability at This Hospital

Enter your availability for each day in any format you prefer. Leave blank if not available.
Any format accepted
Any format accepted
Any format accepted
Any format accepted
Any format accepted
Any format accepted
Any format accepted
Common Format Examples:
9:00 AM - 5:00 PM
9 AM - 5 PM
09:00-17:00
Morning: 9 AM - 12 PM
Afternoon: 2 PM - 6 PM
Evening: 6 PM - 9 PM
By Appointment Only
Emergency Only
Not Available
Full Day
Half Day
10 AM - 1 PM, 4 PM - 7 PM
Flexible Format: You can enter availability in ANY format that makes sense to you and your patients. The system will display exactly what you enter on your profile.