Longevity
& Wellness Clinic
Note:
Patient accounts are instantly approved. All staff roles require admin approval after registration.
Full Name *
Email Address *
Mobile Number *
State *
District *
Account Type *
Choose your role
Patient
Coordinator
Doctor
Receptionist
Chemist
Pathology Lab
Full Address *
Doctor Qualification *
Certifications / Registration *
Experience *
ID Proof Number *
Password *
Confirm Password *
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