Doctor Enrollment "*" indicates required fields Doctor Name* Scope of Work* Email Id* Once you get registered with us, you will receive an email from us. This email will be user name to access Click2Cure back end system. You will be able to see your Patient data, appointment colander and many other things in the Click2Cure back end system.Clinic Name and Address* Notification Mobile Number*Provide the mobile number of yours or your reception person who manages your appointments. This mobile number will receive SMS on each appointment booking.Personal Mobile Number*Your personal mobile number where our Sales Representative may contact you in case of anything.Degree* Degree Registration Number*Year of Experience Know your Doctor Text* This will be displayed in Mobile app on your profile. Please provide very good details over here. Appointment Days* Write days over here. For example if you want to display Appointment days from Monday to Saturday then specify like "Monday to Saturday" below.Appointment Time* Specify time of each day in 24 hours format. For example, 10:00 AM to 14:00 PM or 18:00 PM to 20:00 PMNew Case Fees* Old Case Fees* Are you interested for any Coupon Codes / Cashbacks promotion of yours or hospital's services ?* Yes, please call me back to explain this No If you are a surgeon then are you interested in our Club Surgery promotion ?* Yes, please call me back to explain this No Are you interested in our Club memberships provided to Patients ?* Yes, please call me back to explain this No Bank Account Number*Your bank account in which the collected amount will be transferred.IFSC Code*Terms & Conditions* I have understood the concept of Click2Cure. I have also understood the back end system of Click2Cure. I hear by agree to all Click2Cure Terms and Conditions Mentioned at https://click2cure.com/terms-of-use/ CommentsThis field is for validation purposes and should be left unchanged. Δ