Personal data

As YourMediCall acts as an intermediary between you and the patients, we have to ensure the qualification of the recommended doctors.
In order to do this as unbureaucratically as possible, we would like to ask you to fill out the form and provide us with a portrait photo (optional, but makes it easier for patients to gain confidence).


    Data visible to your patients:







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    Additional data that you only provide to YourMediCall to verify your authorisation:


    Address



    Qualifications




    * are required fields

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