Facility/Rehab Center Registration
Facility / Rehabilitation Center / Hospital / Nursing Home Registration Form
Fill in all the details of your establishment
Facility/Establishment/Rehabilitation Center Name:
Full Correspondence Address:
City:
State:
Pincode:
Landline number :
(Primary)
Landline number :
(Alternate)
Email ID
(Primary)
:
Activation email will be sent to this email id
Email ID
(Alternate)
:
Website:
Enter different room type and their total beds
Total Beds:
➕
Room Type
Total Beds
🗑️
Submit
NB: The administrator-level default login credentials (password and ID) will be generated and sent to the registered email address (above). When you initially log in, you have to change the default password.
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