Physician Registration Leave a Comment / Uncategorized / By Asad Subhani Doctor Name *Gender *ChooseMaleFemalePrefer not to sayEmail *Contact Number *Current Full Address *City *Province *ChoosePunjabSindhKPKBalochistanDate of Birth *Martial Status *ChooseSingleMarriedCNIC or National ID Card *Languages you can speak *Where did you hear about usSearch Engine (Google, Bing, etc.)Social MediaRadioTelevisionStreaming Service AdNewspaper/Online NewspaperReferralWord of MouthOtherProfessional DetailsPractitioner License or PMDC or N/A *License Registration Date Or Date of Degree *License Expire On *12/31/202312/31/202412/31/202512/31/202612/31/202712/31/202812/31/202912/31/2030#NASpecialization (If Your Degree is completed then select any Specialist otherwise mark General Physician only) *General PhysicianGynecologistPediatricianDentistPulmonologistInfectious Disease SpecialistDermatologistCritical Care ExpertNeuro physicianAnaesthesiologySurgeonNutritionistOphthalmologistEmergency MedicineUrologistsRheumatologistsInternal MedicineENTNephrologistOrthopedicOncologistGastroenterologistRadiologistPsychologistPsychiatristPharmacistCardiologistEndocrinologyDietcianFamily MedicineHaematologistNeurosurgeonPeads SurgeonPhysiotherapistDiabetologistOtherOther Specialization *Type of specialization *MBBSMBBS, FCPS 1MBBS, FCPS 2 ClearedMBBS, MCPS 1MBBS, MCPS 2 ClearedMBBS, MRCPMDDiplomaCertificationM.PhilBSMSMECGPOtherOther type of Specialization *Any Certification or Diploma *Work HistoryDoctor working Status *ChooseHome-basedPracticing in physical setups as wellAre you working on any other telehealth/telemedicine platform? *YesNoName the other telehealth/telemedicine organizations you are working with *ChooseN/AOladoc.marhamMarhamEdoctorRing-A-DoctorWEBDOCOladocTotal Working ExperienceSupporting DocumentsProfessional Picture (Only with Lab-coat) *Choose FileNo file chosenDelete uploaded fileCNIC *Drag and Drop (or) Choose FilesCV (Resume) *Choose FileNo file chosenDelete uploaded filePMDC (for Doctor), DEGREE ( For non Doctor) *Choose FileNo file chosenDelete uploaded fileSpecialization DegreeChoose FileNo file chosenDelete uploaded fileOther Documents you need to submitChoose FileNo file chosenDelete uploaded fileMBBS, BDS or Other Graduation Degree *Choose FileNo file chosenDelete uploaded fileShort Brief about your self *Additional RemarksBy providing the above information, you give consent to Sehat Kahani to utilize your details to assess you for the position of a telehealth provider enabling your virtual clinics and to register you on their network where you will have access to medical content, CMEs and exciting job opportunities. *YesNoAny additional comments?Register
