To help you best utilize our FREE practitioner database service, below are the definitions and specifics of the various fields that you would need to fill while adding your service to the database.

Login Name: This should be a unique name that you will use to login to add/edit your record, e.g., Mary2001 or mary_queen. This is a required field.

Password: Please type in your password. It should be at least 6 characters long. This is a required field.

Re-enter Password: Please re-type the same password for confirmation. This is a required field.

Title: : Select your title as Dr, Ms, Mrs.

First Name: The practitioner’s first name.This is a required field.

Last Name: The practitioner’s last name or surname.This is a required field.

Category Name: : Please choose from the category dropdown list the category that best fits the practitioner's service. More than one category can be selected here by keeping the left button of the mouse pressed. If none of the categories describe the service, select 'Other' and mention more details of the service in 'More Details' field. This is a required field.

Speciality (max 40 characters): Please type in the speciality of the practitioner, e.g., Expert in cancer treatment.

Services Provided: Please type in all the services provided by the practitioner, e.g. Acupuncture, aromatherapy and Rolfing.

Health Center Name: Please type in the name of the practitioner’s health center, if applicable.

Street Address: Please type in this field the practitioner’s contact address. The correct way of filling this field is by typing in first the apartment/suite/house name/number (if applicable), then the floor number (if applicable), the street/road name/number (if applicable), and finally the neighborhood name (if applicable). Please separate each part of the address with a comma (,), e.g., Suite 32, 2nd Floor, Jackson Street, Holy Oaks.This is a required field.

Country: Please choose the relevant country from the dropdown list. This is a required field.

State / Province (Only for US, India and Canada): Please choose the relevant state from the drop down list. . This is applicable only for practitioners in these countries and is a required field for them.

City: : Please type in the name of the city where the contact address is situated, e.g., Miami. This is a required field.

Zip code / Postal code: Please type in the zip code or postal code.This is a required field.

Phone: : Please type in the phone number of the practitioner. Please include the country code and state/province code along with the phone number.This is a required field.

Fax: Please type in the fax number of the practitioner. Please include the country code and state/province code along with the phone number.

Email: Please type in a valid email address, e.g., abc@domain.com, since we shall send a confirmation email containing your registration details to this address.This is a required field.

Website: Please type in the website address of the practitioner (if applicable), e.g., http://www.yourdomain.com.

More Details: Please type in this field any further comments or information that you would like to put in the database.

Photographs: Please upload your passport size photograph. Photo size should be less then 30KB.

Close this window