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Hospital Name
Email
Phone Number (with country code)
Password
Confirm Password
Country Name
City
Address
Date of establishment
Website Link (or facebook page link, instagram etc..)
Number of staff (including doctors and nurses)
Number of beds
Hospital location link on Google Maps
Hospital legal PDF document (Government registration certificate or license)
Hospital logo
Upload 3 photos: 1 photo of the hospital's manager, 1 photo of hospital's exterior (hospital's entrance must be in the photo) and a photo of hospital's interior (Don't upload patients' photos!)
Please answer questions below.
Why do you want to make an account?
If someone can't afford the bill/medicine will you treat him for free until he pays or you will refuse politely until he pays?
Please agree to checkboxes below.
I swear to be 100% honest, to treat people in need for free, and to ask for donations using true, verified numbers and bills.
I agree that if I am caught lying, the platform has the full right to involve the police and international courts against me.
I accept the
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After submitting, our team will review your application within 48 hours. You'll receive an email when approved.