TCM Physician Career Form

Name (required)

Email (required)

Contact number (required)

Gender (required)
MaleFemale

Address (required)

Citizenship (required)

Physician Registration Number (required)

Physician Registration Expiry Date (required)

What services can you provide (required)
AcupunctureCuppingTui NaGeneral CheckupGeneral Checkup - PregnancyGeneral Checkup - InfertilityGeneral Checkup - ChildrenGeneral Checkup - StrokeGeneral Checkup - Arthritis

Please state your fee for the services you provide (required) (Do check out our Price list as a reference to charge for your service)

Which areas of Singapore can you provide your services (Note* Please Click here to check the allocated location of Service)
CentralEast/South EastNorth EastNorth SouthNorth/North WestWest

How are you providing your services?
Customer preferred locationYour homeYour Clinic

Please provide your clinic address, if you selected "Your Clinic"

Other Information:

Education Certificate (required) (filetypes:PDF|jpg|jpeg|doc|docx)

Physician registration Card Softcopy (required) (filetypes:PDF|jpg|jpeg|doc|docx)

Other TCM treatment Experience (filetypes:PDF|jpg|jpeg|doc|docx)

Profile image (required) (filetypes:PDF|jpg|jpeg|doc|docx)