Doctor Registration

Join Rijuven’s home & tele‑care network

⚠️ License verification required

👤 Basic Information

First Name *

Please enter your first name.

Last Name *

Please enter your last name.

Email *

Please enter a valid email.

Mobile (WhatsApp) *

Please enter a valid phone number.

🏥 Professional Details

Primary Specialty *

Please select a specialty.

Medical Council Registration / License # *

Valid registration number required.

Years of Experience *

Please enter 0–60 years.

Languages (comma‑separated)

Highest Qualification

Medical Council

📍 Clinic & Service

Clinic / Hospital Name *

Please enter the clinic/hospital name.

City *

Please enter your city.

State *

Please enter your state.

PIN Code *

Enter a 6‑digit PIN.

Clinic Address

Preferred Availability *

Please choose availability.

Consultation Modes *

Please choose a mode.

🔐 Account & Compliance

Create Password *

Use at least 8 chars with a number and a symbol.

Password does not meet requirements.

Confirm Password *

Passwords must match.

I agree to the Terms and confirm the information provided is accurate. *

We verify registration numbers with medical councils. You’ll receive onboarding details via email/WhatsApp.