Activation Form - Referral

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About
Pricing
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Blog
Privacy

Sign-up: Activation form

Step 3: Enter Details for Your Webpage

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Please fill the form below to help us create your exclusive webpage and APP account.

Name to be displayed

Specialization

Years of Experience

Clinic name & address

Landmark for clinic address (if any)

Do you have clinic logo that you want to display on your webpage?

Do you have Google Map by Clinic/ Doctor's name? If yes, we will help you integrate this appointment booking webpage so that new patients who are searching on Google can book appointments online

Qualification details starting from graduation (Please mention medical college name also)

OPD Timings

Consultation charges in INR

Mode of Online Payment for Consultation fees

Phone Pe BHIM Google Pay PayTM NEFT Others

Medical Registration number (As per latest telemedicine guidelines, it is mandatory to display this when patient is booking appointment)

Your personal mobile number for login in OPDlift app via OTP (Will not be shared with patients anywhere)

Clinic mobile or landline number (Please repeat if same as your personal number)

Do you want clinic's number to be shared with the patients in appointment confirmation SMS & WhatsApp?

Yes No

You have an option of sharing Rx directly with your patients or with your staff. Please state your preference. (Can be changed in future, if required)

Directly with my patients (over WhatsApp chat) With my staff via OPDlift App (who will send to patients via Chat/Email)

Any YouTube link or Article that you would like to add to your webpage (This will improve doctor-patient engagement and helps in credibility building)

Lastly, we would add a short introduction on your webpage. Please share if you would like to add anything specific such as what kind of conditions you treat. You can also share any fellowship, academic/ medical achievement or simply share a couple of lines about your passion for healthcare. (2-3 lines)

Frequently Asked Questions

Need help? Call or WhatsApp us at 80884 39968 or ✉ us at start@opdlift.com