Full Name*
Mobile Number (WhatsApp Enabled)*
Email ID*
Date of Birth*
Gender* MaleFemaleOther
City & State of Practice*
University / College Name*
Highest Qualification* BPTMPTOthers
Specialization* OrthopaedicsNeurologySports PhysiotherapyCardio PhysiotherapyPediatric PhysiotherapyGeriatric PhysiotherapyWomen's HealthGeneral PhysiotherapyOther
Years of Experience* 0-2 years2-5 years5-10 years10+ years
Current Working Status* ClinicHospitalFreelancer
Available for Consultation* OnlineHome VisitBoth
Available Days* MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Preferred Time Slot* Morning (7 AM – 12 PM)Afternoon (12 PM – 4 PM)Evening (4 PM – 9 PM)
Upload Degree Certificate*
Upload Profile Photo*
I confirm I am eligible to practice physiotherapy in IndiaI agree to Flexi4U terms & tele-consultation policy
