Doctor Application

Fill in your medical credentials & registration details below.

Note: All doctor applications are verified by Admin against council records before account activation.

Full Name *

Email Address *

Phone Number (10 Digits) *

Account Password (min 8 chars) *

Medical Registration Number *

Qualification *

Specialization Category *

Specialization Subcategory *

Practice Location *

India

Outside India

State *

Working District *

Years of Experience *

Consultation Fee (₹) *

₹

Consultation Mode *

In-Person Working Hours (15-Min Slots) *

Start Time

End Time

Online Video Working Hours (15-Min Slots)

Start Time

End Time

Associated Hospital / Practice Center

Clinic / Practice Address *

Medical Council Certificate (PDF / Image) *

Upload valid State or National Medical Council certificate (max 5MB).

Profile Photo (Headshot)

Professional headshot photo (JPEG/PNG, max 2MB).

I agree to the Terms of Service & Privacy Policy *

Terms Summary:

You must provide an authentic state medical registration council number matching your certification.
You agree to offer professional care, ethical consultancy, and consult at designated locations or digital channels.

Privacy Summary:

We display qualification metadata (experience, specialization, and clinics) publicly.
Licensing certificates are protected and only accessed by administrators for verification.
Patient appointment logs are private and secure.

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