Welcome To Medicare Mission

Doctor Registration Form

Personal Information
Valid Photo ID Proof:
Other Documents:

Disclaimer: You Are Responsible For Maintaining, Updating & Confirming Your Legitimate Registration With Appropriate & Relevant Medical Regulatory Organization. You Confirm To Provide Timely, Accurate And Credible Assessment & Treatment To All Patients At All Times. You Shall Maintain Courtesy, Descency, Good Grooming, Excellent Manners, Kindness, Patience And Respect In All Your Interactions With Patients And Relatives/Care Takers. You Shall Maintian Complete, Contemporaneous & Truthful Documentation Of Each Patient Care Interaction. This Documentation Must Be Made Available Without Any Alteration To Medicare Mission Immediately When Asked For.