DOCTOR ID VERIFICATION FORM

1.Personal Identification Details

Please provide your official identity information as it appears on your passport or professional registration.

* Full Legal Name

* Date of Birth

* Nationality

* Country of Practice

* GMC Number or Ministry of Health / TTB

* Residential Address

Mobile Phone Number

* Email

2.Professional Information

Kindly provide details about your medical background and current practice.

Select

Years of Clinical Experience

* Current Employer / Clinic / Hospital

* Type of Employment

* Institution Name

* Institution Website

* City

* Country

Type of Practice

Online Consultation

In-Clinic Practice

Both

For Doctors Practicing in Türkiye

For Doctors Practicing in the United Kingdom

* GMC Registration Number

GMC Registration Status

* License to Practice

Yes

* GMC Revalidation Status (UK Only)

3. Medical Registration & Licensing Details

* Link to GMC Register Profile (if available)

* Medical Diploma Registration Number

* Ministry of Health Registration Number

* Turkish Medical Association (TTB) Registration Number

* YÖK Graduation Record (if available)

To complete verification, please upload clear and legible copies of the following documents:

✔ Medical Diploma (PDF / JPG / PNG)

✔ Specialist Certificate (if applicable)

✔ Government-issued ID or Passport

✔ GMC Certificate (UK applicants)

✔ Ministry of Health or TTB Registration Document (Türkiye applicants)

Accepted formats: PDF, JPG, PNG

Maximum file size: 10MB per file

All documents must be valid and clearly readable.

File Upload

6. Legal Declaration & Consent

Before submission, please confirm the following:

☐ I declare that all information and documents provided are true, accurate, and belong to me.

☐ I understand that submission of false or misleading information may result in permanent account suspension and legal action where applicable.

☐ I authorize MyDoctorsOnline to verify my credentials with relevant regulatory authorities (including but not limited to GMC, Ministry of Health, and TTB).

☐ I consent to the processing and secure storage of my personal data in accordance with UK GDPR and applicable data protection laws.

7. Verification Process

After submission:

• Your profile will be marked as Pending Verification

• Our compliance team will review your documents

• Regulatory checks may be conducted

• Once approved, you will receive a Verified Doctor Badge

Please allow 3–5 working days for review.

* Submit for Verification

By clicking submit, you confirm that you agree to the above terms and conditions.