Doctor Registration Form Gender* Male Female Name* First Last Phone*Email* PMDC Registered? :*Please Select One:ApplicableNot applicablePlease Provide PMDC Registration #:* Select a specialisation:*Please Select One:GynecologistLactation ConsultantPsychologistPsychiatristEndocrinologistPaediatricianFamily MedicineGeneral PhysicianDentistNutritionistTherapistYears of practice:*Please Select One:1 - 2 Years3 -5 Years5 + YearsReference:*Please Select One:FacebookGoogleAdvertisementFriendOtherPlease upload a copy of your CV (Optional):Accepted file types: jpg, png, word, doc, pdf, Max. file size: 10 MB. For Free Basic Health Care Advice Call / Whatsapp 03212593194 We do not deal with emergency cases, for urgent care please visit a hospital.*