Central Medical Centre

Patient Registration <<

Register as a Doctor or Healthcare Professional

Register and extend your physical presence on the web

Allow patients to book appointments online according to your sechedule.

Set up teleconferencing meetings.

Send electronic invoices.

And much more...

Choose a Username

Username *

Enter your email address and choose a password for your account

Email Address *

visibility

Password *

The following are required for this input

radio_button_unchecked

An uppercase letter

radio_button_unchecked

A lowercase letter

radio_button_unchecked

A Number

radio_button_unchecked

8-30 Characters Long

radio_button_unchecked

A special character from ?$*#@%!.$

Provider Demographics

Title

First Name *

Last Name *

Date Of Birth *

Gender *

Your privacy settings will determine who can see this information

Doctor Demographics Cont'd

Address Line 1 *

Address Line 2

City *

State

Zip Code

Country *

Your privacy settings will determine who can see this information

Provider Contact Details

Phone Number 1

Phone Number Alternate

Fax

Your privacy settings will determine who can see this information

Licensing Organization

Registration Number

Website

Upload Image Licence Card '

All except card image will be visible to all. This will allow users to verify your qualifications

The card image will be optionally displayed depending on your privacy settings

Search categories that you hold qualifications for

Add Certificate(s) for categories tagged above *

Register as a Doctor or Healthcare Professional

Register and extend your physical presence on the web

Allow patients to book appointments online according to your sechedule.

Set up teleconferencing meetings.

Send electronic invoices.

And much more...

Healthcare Provider Registration

Choose a Username

Enter your email address and choose a password for your account

Provider Demographics

Your privacy settings will determine who can see this information

Doctor Demographics Cont'd

Your privacy settings will determine who can see this information

Provider Contact Details

Your privacy settings will determine who can see this information

All except card image will be visible to all. This will allow users to verify your qualifications

The card image will be optionally displayed depending on your privacy settings

Your credentials will be visible to all.

* Your certificate image will be optionally displayed based on your privacy settings.

*Certificate image is required by admin to validate your credentials except if credentials are listed on medical licensing card.

Your privacy settings will determine who can see this picture