find doctors clinic

Only US$ 10.oo per month

(Billed on Monthly basis. Non-automatic renewal)

PROCEDURE:

1.) First, register under the Premium Listing CLICK HERE.

2.) If already registered, return to this page and please fill up form below, and proceed to payment.

Application for Front page listing. Step 1 of 2.

* Indicates required field

Country *

Name of Medical Practitioner *

First

Last

Email *

You can upload your video either through:

a.) Upload video file *

Max file size: 20MB

b.) or paste your youtube link address here *

You can upload additional picture or logo:

Upload Picture Profile *

Max file size: 20MB

Upload Logo *

Max file size: 20MB

Additional: Clinic's Overview / Profile *

Other information you wish to appear on line *