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mediCare
Physician Registration
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Personal Information
Full Name
Email Address
Phone Number
Gender
Select Gender
Male
Female
Other
Date of Birth
Professional Information
Medical License Number
Issuing Medical Body
Years of Experience
Specialization
Sub-specialization (Optional)
Qualifications
University / Medical School
Languages Spoken
Availability & Consultation
Available Days
Available Time Slots
Consultation Method
Select Method
Online
Offline
Both
Consultation Fee
Currency
Select Currency
UGX
USD
Max Patients per Day
Available for on-site client visits
Yes
No
Document Uploads (for verification)
Government-issued ID
Medical License Document
Degree Certificates
CV / Resume (Pdf)
Login Credentials
Password
Confirm Password
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