Sign Up As A Health Service Provider

First Name (required)

Middle Name (required)

Surname (required)

Date of Birth (required)

Gender (required)
MaleFemale

Documents Upload(required)

Provider Type (required)
DoctorHealth Service Provider

MCJ Registration Number (required)

Area of Specialization (required)

Work Address (required)

Office Number (required)

Cell Number (required)

Your Email (required)

I hereby authorize DigiScripts to confirm this information with the Medical Council of Jamaica.