Registration for Doctor

UrDoc for Dr.

Please send the required items from the form below.
After UrDoc operation office confirms your information, we will send Confirmation Email & Information upon your participation on UrDoc. Please note that it may take 1-2 business days to be delivered.

See more on "for Doctors" page
Name
Please input only capital or small letter in English
Please input only capital or small letter in English
Gender
Date of Birth(Month/Day/Year)
Month Day Year
Country
Zip code
Address
Tel
E-mail
E-mail (Confirm)
Password
Password (Confirm)
Password Confirm, not same
Alma mater
Employment
Work form
If you choose “Other”, please kindly let us know details.
Speciality
Language
Language Skills
See reference for language & level
  • Lv.5

    Native Speaker

  • Lv.4

    Almost native speaking; reading and writing without problem

  • Lv.3

    If contents are known, can communicate with native speaker

  • Lv.2

    Basic conversation, reading, and writing are possible

  • Lv.1

    Can understand simple questions

Medical License Photo
Photo is needed

To acquire a clear image, we recommend scanning or taking a picture of your license

Identification Photo
Photo is needed
Example

Your ID confirmation photographs must be:

  • a picture of you holding your valid photo ID next to your face to allow for facial confirmation of the ID document
  • and your photo ID must include a photograph of you, the holder (e.g. passport, driver license)
Picture for icon(Optional)

To make it easier for users to select, please register (you can also register later)

Notes

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