Doctor NAP Information Form - Healthcare Edition

Doctor NAP Information Form

Healthcare Edition - Complete Your Professional Online Presence

Instructions: This form is specifically designed for doctors, clinics, and healthcare providers. Please provide accurate information to build a strong, verified online presence across all medical platforms and directories.

Core Practice Information

Basic details about your medical practice

List all specializations, separated by commas
Practice Location
Contact Information

Google Business Profile

Your primary online presence for local search

Your main Google Business Profile link
If you have integrated booking on GBP
List all categories your business is listed under

Medical Licenses & Registrations

Professional credentials and regulatory compliance

Select All Applicable Licenses

License Details
Include degree, institution, and year

Healthcare Platform Profiles

Your presence on medical directories and booking platforms

Practo
Other Healthcare Platforms

Social Media & Professional Networks

Your digital presence for patient engagement

LinkedIn
Facebook
Instagram
YouTube & Content
Messaging Platforms

Practice Hours & Services

Operating hours and services offered

Hospital Affiliations & Network

Your associations with hospitals and medical institutions

Additional Information

This will be used across various platforms - write a comprehensive professional summary

Professional Consent & Authorization

Simple Authorization for Healthcare Professionals

By submitting this form, I, as a licensed healthcare professional, hereby authorize Webentist to:

  • ✓ Update and manage my professional NAP details across all medical platforms and directories
  • ✓ Verify and update my medical license information and professional credentials
  • ✓ Optimize my profiles on Practo, Google Business, and other healthcare platforms
  • ✓ Manage appointment booking systems and patient inquiry channels
  • ✓ Implement SEO optimization for better patient visibility and reach
  • ✓ Respond to patient reviews and manage online reputation (maintaining medical ethics)
  • ✓ Upload and manage professional photos, clinic images, and medical content
  • ✓ Use AI-powered tools for content optimization while maintaining medical accuracy

HIPAA & Privacy Compliance: All patient data and medical information will be handled in strict compliance with healthcare privacy regulations. No patient information will be shared or disclosed.

Digital Signature
By typing your name, you provide your digital signature and legal consent

Please ensure all required fields are filled and professional consent is granted before submission

Your information will be submitted securely to nap@webentist.in

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