Doctor Volunteer Enrollment

Join the Green Health Volunteer Network. Offer Free OP & Other Medical Benefits to verified Restore Earth, Health participants. Already enrolled? Doctor Login →

Profile Photo *

JPG / PNG, max 2MB — required

Upload Camera

Full Name *

Mobile *

Email *

Gender

Date of Birth

Qualification *

Specialization *

Medical Council Reg # *

Experience (years)

Clinic Name

Hospital Name

Address

State *

District *

City

Pin Code

Working Hours

Verification Documents (PDF / JPG / PNG, max 2MB — all required)

Registration Certificate *

Choose file

Medical Council Certificate *

Choose file

Identity Proof *

Choose file

Clinic Photo *

Choose file

Required — please tag your clinic location

I declare the above information is true. I voluntarily agree to offer Free OP & Other Medical Benefits (free OP consultations, and discounted laboratory, medicines & radiology where applicable) to verified Restore Earth, Health participants. I understand this is voluntary participation under the Green Health Movement.