Healthcare - Registration

Register as a Healthcare Facility

Facility Logo (Optional)

Upload Logo

Facility Name * Please enter the name of your facility.

Facility Type * Please select the type of facility: Inpatient, Outpatient, or Both.

Facility Email * Please enter a valid email address for your facility.

Facility Password * Create a strong password for your account.

Facility Phone Number *

Enter a contact number for your facility.

Facility Country * Select the country where your facility is located.

Country Currency * The currency will be set automatically based on the selected country.

Facility Address * Start typing the address to your facility.

Facility Representative Name * Enter the name of the representative of the facility.

Facility Representative Role * Enter your role with this facility.

Facility Representative Phone Number * Enter a contact number for the representative.

Number of Rooms * Please enter the number of rooms at your facility. You will name each room, then specify the number of beds and name them.

Number of Doctors * Please enter the number of doctors working at your facility.

Number of Nurses * Please enter the number of nurses working at your facility.

Type of Doctors * Select the types of doctors available at your facility. For each selected type, you will need to specify the number of such doctors at your facility.

Type of Nurses * Select the types of nurses available at your facility. For each selected type, you will need to specify the number of such nurses at your facility.

Subscription Plan Designed For Your Facility

Doctaz - Monthly

XAF 50,000

careCard
HealthRegistry
Scheduler
Symptom Checker

Doctaz - Quaterly

XAF 142,500

careCard
HealthRegistry
Scheduler
Symptom Checker

Please review the plan details before proceeding.

Choose Payment Method:

Mobile Money Stripe

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