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Doctors Registration
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Personal & Professional Information
Full Name (as per CNIC / Medical License)
(Required)
Gender
(Required)
Male
Female
Other
Date of Birth
(Required)
DD slash MM slash YYYY
Mobile Number (WhatsApp preferred)
(Required)
Email Address
(Required)
CNIC Number
(Required)
Medical Credentials
PMDC / Medical License Number
(Required)
PMDC / Medical License (upload scanned copy)
Max. file size: 6 GB.
Qualification
(Required)
Qualification Year of Passing
(Required)
Subject Of Specialization Of Highest Degree
(Required)
University Board Name
(Required)
Total Years Of Experience
(Required)
Previous Employment
(Required)
Current Employment Or Telehealth Affiliation
(Required)
Highest Medical Qualification (upload degree certificate)
(Required)
Max. file size: 6 GB.
Other Certifications (if any)
(Required)
Max. file size: 6 GB.
Consultation Setup
Preferred Consultation Languages (English / Urdu / Punjabi / Others)
(Required)
Consultation Fee per Session (PKR)
(Required)
Preferred Payment Method for Payouts
(Required)
Easypaisa
JazzCash
Bank Transfer
Zoom Account Email
(Required)
Availability Schedule
(Required)
Days (Mon–Sun)
Time Slots (Morning / Afternoon / Evening)
Maximum Patients per Day
(Required)
Professional Profile (For Patients)
Short Bio (100–150 words for profile)
(Required)
Areas of Expertise / Special Conditions Treated
(Required)
Languages Spoken
(Required)
Profile Photo Upload
Max. file size: 6 GB.
Video Introduction (Optional) Upload Link of Vimeo or google drive.
short clip introducing yourself to patients
Compliance & Agreement
Must Comply with Pakistan Telemedicine Regulations
(Required)
Must Comply with Pakistan Telemedicine Regulations
Consent
(Required)
Data Privacy & Patient Confidentiality Agreement
Consent
(Required)
Non-Prescription Disclaimer (acknowledge only legal medicines can be prescribed)
Signature / E-Signature
(Required)
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Since 2020
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Supplements
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