Register as a doctor

Eight short steps. You can review everything you have entered before you submit — nothing is sent until you confirm it on the last step.

Keep your medical registration certificate, degree certificates and a photograph of your signature to hand. PDF, JPG or PNG, up to 10 MB per file.

यह पंजीकरण फ़ॉर्म अंग्रेज़ी में है — मेडिकल रजिस्ट्रेशन के काग़ज़ात भी अंग्रेज़ी में ही होते हैं। किसी मदद के लिए 788 000 3838 पर कॉल कीजिए।

Before you begin — how your information is handled

This application collects your contact and practice details along with identity documents: your registration certificate, degree certificates, address proof and a specimen signature. They are used only to verify and onboard you as a doctor on the ClinicWala platform, stored in a private access-controlled area, and never published or sent as email attachments. If your application is not approved, or you withdraw it, your documents are deleted within 90 days. You can have your data corrected or deleted, or withdraw consent, at any time — write to info@clinicwala.com or call 788 000 3838. Nothing is sent until you consent on the last step.

1 Doctor details

Full name * Mobile number * 10 digits, starting 6 to 9 Email address * e.g. name@example.com Address line * City * State * Pincode * 6 digits Registration council * Medical registration number * 4 to 24 letters, digits, / or - Registration year * Experience (years) * No minimum — freshers can apply. Enter 0 if you are just starting. Clinic name * No clinic yet? Enter a name like “Dr. Rajat Sharma’s Clinic”. Teleconsultation fee (₹) * What a patient pays for one video consultation. You set your own fee — the platform does not set or cap it.

Speciality

Search and select every speciality you consult in. If yours is not listed, type it and add it.

Consultation timings *

Tick the days you consult and set the hours. Add as many sittings per day as you keep — for example 9:00–11:00, 14:00–16:00 and 20:00–22:00. At least one day is required.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Documents

Your photograph

A clear, recent head-and-shoulders photograph. Patients see this on your profile when they choose a doctor, so it should look like a clinician at work — not a group photo or an ID scan.

JPG or PNG · up to 10 MB

Medical registration certificate

The registration certificate issued by your council, showing your name and registration number.

PDF, JPG or PNG · up to 10 MB

Address proof

Aadhaar, passport, driving licence, voter ID or a utility bill in your name.

PDF, JPG or PNG · up to 10 MB

Other professional verification Optional

Anything else that supports your practice — clinic registration, fellowship, speciality board certificate.

PDF, JPG or PNG · up to 10 MB

Register to consult on ClinicWala

Before you begin — how your information is handled

How your information is handled