Doctor Registration Form

By submitting this form, you confirm that you've gone through our privacy policy and agree with the terms of use of our mobile platform. SeekMed panel of doctors will review your profile and take a decision within a week. You'll be notified via an email.

Doctor name

Gender

This is needed for registration and will not be visible to patients.

Date of birth

Specialty

Medical registration certificate

Uploading, please wait...

Upload

Practice address
Once your profile is created, you can edit/add address & hours of operation directly in the mobile app.

e.g. 10AM - 2PM (Mon-Sat); 2PM - 5PM (Sun)

Consultation fees (INR)

Mobile number of person (or doctor's assistant) managing the appointments and where patients can call.

All information will be kept with discretion and will not be used for other marketing or advertisment purposes without your approval.

I give my consent to use my information towards SeekMed mobile app registration.