Doctors 247 Online Helpline Registration
Your FREE Clinic at www.Doctors247.online
Your Full Name
Your Email for all correspondence
Your Mobile Phone Number
Mobile phone # without leading 0
Your Availability (from date needed)
Your Days/Hours of Online Clinic (if any preference, otherwise leave blank)
Your Medical Graduation
Your Post-graduate Qualification (most significant one)
Your Clinical Practice type
Family Medicine or GP Practice
Clinical Specialty Practice (specify type below)
If practising as a Specialist, please state the Specialty
Name and Country of your Medical Registration Authority (list multiple if needed)
Upload your photo from the device camera - Please also attach your Medical Degree and Registration if available just now.
Please state your preferred languages of communication with your patients.
Your Mandatory Declaration for Online Medical Practice
Please read and tick if agreed.
Your Signature or Initials
Should be Empty: