Healthcare - Registration
Register as a Healthcare Facility
FACILITY INFO
REPRESENTATIVE INFO
FACILITY DETAILS
SUBSCRIPTION
Facility Logo (optional)
Upload the logo of your facility.
Facility Name *
Please enter the name of your facility.
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.
Facilities 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.
Go To Next Step
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.
Back to Previous Step
Go To Next Step
Number of Rooms *
Please enter the number of rooms at your facility. You will need to name each room.
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 *
Allergist
Dermatologist
Ophthalmologist
Obstetrician/Gynecologist
Cardiologist
Endocrinologist
Gastroenterologist
General Practitioner
Pediatrician
Neurologist
Oncologist
Orthopedic Surgeon
Pyschiatrist
Radiologist
Urologist
Otolaryngologist (ENT Specialist)
Anaesthesiologist
Pulmonologist
Rheumatologist
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 *
Registered Nurse (RN)
Cardiac Nurse
Nurse Anesthetist
Clinical Nurse Specialist
Nurse Practitioner
Licensed Practical Nurse
Nurse Midwife
Pediatric Nurse
Geriatric Nurse
Critical Care Nurse
Oncology Nurse
Neonatal Nurse
Pyschiatric Nurse
Rehabilitation Nurse
Hospice Care Nurse
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.
Back to Previous Step
Go To Next Step
Choose Your Subscription Plan
Doctaz Silver
$1000.0
/month
Free Trial: 10 days
Payment Type: Monthly
Plan Price: $1000.0
Doctaz Gold
$6000.0
/month
Free Trial: 5 days
Payment Type: Monthly
Plan Price: $6000.0
Select a subscription plan for your facility. Review the plan details before proceeding.
Back to Previous Step
Register as a Healthcare Facility
Crop the profile image
×