All-in-One Practitioner Application

Join as a Healthcare Expert

Fill in your practitioner credentials, educational degrees, clinical specializations, and verification documents to practice with Medavas.

Practitioner Application & Verification

Please keep your degree certificates and government ID photo (Aadhaar or PAN) ready to upload for seamless verification and approval.

Account & Personal Information

Your contact details and secure login password

First Name *

Last Name *

Email Address *

Phone Number *

Primary Clinical Department *

Clinical Specializations*(Click or tap to select)⚠️ Select at least 1

Therapeutic Modalities & Skills(CBT, DBT, Psychodynamic, Mindfulness)

City

State

Country

Date of Birth

Gender

Languages You Consult In

Qualifications & Educational Degrees

Your clinical experience start date and accredited degrees

Practice / Career Start Date *

Select the month and year you started practicing counseling / therapy or clinical work.

Post-Graduation / Master's Degree* mandatory

Degree Title *

University / College *

Year of Completion *

Certificate / Marksheet (PDF or Image) *

Upload Certificate

Graduation / Bachelor's Degree* mandatory

Degree Title *

University / College *

Year of Completion *

Certificate / Marksheet (PDF or Image) *

Upload Certificate

Consultation Modes & Practice Bio

Available consultation formats and your public practitioner biography

Available Consultation Modes

Professional Bio / Summary *0 characters (min 15)

Choose Account Password *

You will use this password along with your email address to log in to your practitioner portal.

Identity Verification & Profile Photo

Confidential government ID proof for clinical credentialing

Formal Profile Photograph * Mandatory

Square or portrait headshot with clear facial visibility.

Headshot

Choose from Gallery / FilesTake with Camera

JPG, PNG, or WebP. Max 10MB.

Primary Government ID * Mandatory

Official government proof (e.g. Aadhaar Card, Passport, Voter ID)

Front Side ** Required

Upload Front

Back Side ** Required

Upload Back

I confirm that all credentials, educational degrees, and government identity proofs provided above are genuine and true. I agree to the Terms & Conditions and Clinical Privacy Policy.

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