Doctor Registration Form

Register as a doctor to provide medical services

Personal Details

Must be unique
JPG/PNG format

Professional Details

Comma-separated list of services
Optional: mention services that are not available

Clinic & Online Presence

Select state first
Select district first

Location Auto-Detection

Search for a location, use auto-detection, or click on the map to set manually.
Enter city name, address, landmark, or clinic name to search
Optional: Enter latitude manually if auto-detection fails
Optional: Enter longitude manually if auto-detection fails

Consultation & Fees

Appointment Scheduling Settings

Document Upload

Upload PDF or JPG/PNG image of your medical registration certificate
Upload up to 3 photos of your clinic or hospital (JPG/PNG).
Photo 1
Photo 2
Photo 3
You must read and agree to the terms and conditions to proceed.
Please click "Terms and Conditions for Service Providers" to read before agreeing

Please read and agree to the Terms and Conditions to enable submission