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Doctor Registration Form Template

Collect necessary details from doctors quickly by using this doctor registration form template. This template is suitable for clinics and medical institutions of all sizes. This doctor registration template can be customized by using Zonka Feedback’s editing tools. Get started with the template. 

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  • Lightening fast setup

Understanding Doctor Registration Form Template

Gathering relevant details about their doctors are crucial for healthcare institutions. The registration form template helps medical institutions gather in-depth information from potential new practitioners, including personal information, qualifications, area of specialization, etc. The simpler and more attractive design of the user interface makes the form engaging and easier to use.

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Ready to Take it a Step Further?

With Zonka Feedback, you can eliminate guesswork and manual surveying. Gone are the days, when registration used to happen offline, now you can do ti by using Zonka Feedback. In minutes, you can create simple, no-code surveys. Distribute surveys and keep track of customer effort at all touchpoints and interactions. Use this Doctor Registration Template to collect information about the doctors.

List of Doctor Registration Form Questions

The following questions are included in Doctor Registration Form Template:

  • Could we know your name?
  • Can you tell us your specialization?
  • Are you a member of any other medical association?
  • Could you please help us with some basic details?
  • Email Address
  • Date Of Birth

Sign Up on Zonka Feedback for free and implement this Doctor Registration Form Template in your account to collect information from doctors.

FAQs about Doctor Registration Template

1. What should be included in a doctor registration template?

The doctor registration template's prime focus is to get all the necessary information about the doctor. So, if you are a hospital you can use this template to gather information without any fuss. You can include the following things in the template: 

  • The name of the doctor
  • Specialization of the doctor
  • If they are a member of any medical association?
  • Their email address
  • Date of birth

2. Can I customize this template? 

Yes, with Zonka Feedback, you can easily customize the doctor registration template, the dashboard offers you plenty of options to add logic, variables, checkbox, picture box and other metrics as well. 

3. Where can I use this Doctor Registration Template?

You can use a QR code at your touchpoint. Another method is to send an email or SMS survey to the customer once the service is completed. If you don't have access to the internet, you can conduct offline surveys using kiosks, mobile devices, or tablets. 

Create and send this Doctor Registration Form Template

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