BwinoCare Auth

Register Your Health Institution

Join the BwinoCare healthcare network

Institution Registration

Complete this form to register your hospital, clinic, or medical center with BwinoCare. All information will be verified before account activation.

Institution Information

Name*

Official institution name

Institution type*

Description

Brief description of the institution

Contact Information

Email*

Primary contact email

Phone*

Primary contact phone

Website

Institution website

Address Information

Address*

Full address

City*

Province*

Postal code*

Country*

Location Coordinates

Add your location coordinates to appear on the doctor map

Latitude

Longitude

Registration & Licensing

Registration number*

Official registration number with health authorities

License number*

Medical practice license number

Tax id

Tax identification number

Administrator Information

Admin first name*

Administrator first name

Admin last name*

Administrator last name

Admin position*

Administrator position/title

Admin phone*

Administrator direct phone

Administrator Account

Admin username*

Username for the institution administrator

Administrator Email*

Email address for the institution administrator

Administrator Password*

Confirm Administrator Password*

Services & Capabilities

Emergency services

Telemedicine available

Consultation fee range

e.g., K50-K200

Services offered

List of medical services offered

Specialties

Medical specialties available

Insurance accepted

List of accepted insurance providers

Terms and Conditions

By registering your institution, you agree to:

Provide accurate and truthful information
Maintain valid medical licenses and registrations
Comply with all applicable healthcare regulations
Protect patient privacy and data security

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