Doctor onboarding application

Complete your details and attach the documents needed for review. Fields marked * are required.

Sign in with a verified partner account before applying to follow review status in your dashboard. A verified partner account is required to protect your documents and track review status. Submitting an application does not activate a partnership. Our team must verify your credentials and agree the service and commercial terms.

1 Doctor and practice details

Practice / business / operator name

Applicant / authorized contact name

Email address

Contact mobile number

Practice / business address

City / locality

PIN code

Website (optional)

2 Professional profile

Medical qualifications

Medical council registration number

Registering medical council

Specialization / areas of expertise

Years of clinical experience

Languages spoken

Professional biography

Hospital affiliations (if claimed)

Consultation formats

Video, clinic and/or home visits where available.

Consultation timings / available slots

Consultation fee in INR

Clinic / hospital locations

Reliable internet and video consultation readiness

Awards / publications (optional)

3 Tax and settlement details

PAN

Is GST registration applicable?

GST registration number

Bank account holder name

Bank name and branch

Bank account number

IFSC code

4 Document uploads

Attach a separate file or a combined PDF for each category. You can select more than one file where needed.

Medical degree certificates

Medical council registration certificate

Professional / passport-size photograph

PAN document

Government-issued identity proof of applicant / authorized signatory

Use a masked identity document where accepted; do not include unrelated personal information.

Cancelled cheque / bank verification document

GST certificate

5 Declaration and permission to review

I am authorized to apply and the information and documents supplied are accurate to the best of my knowledge.

I consent to Arogo Care reviewing this application and its documents, contacting me about onboarding, and retaining this application for up to 90 days as described in the privacy information.

I understand that submission is not approval or a signed partner agreement. Commercial terms and activation require a separate review and agreement.

Full name of authorized signatory

Applications are stored privately for review for up to 90 days. Contact support@arogocare.com with your reference to request deletion.

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