COALESIA · Doctors

Doctor registration

Complete the form and attach your qualification documents. After you verify your email, an administrator will review your application. Patient access is assigned separately.

1Doctor details

First name Last name

Specialty / specialties Separate multiple specialties with commas.

Country of practice City

Clinic / workplace (optional)You may enter “Private practice”.

2Contact details and languages

Email Mobile number with country code

This number is on WhatsApp

Consultation languages *

ქართულიРусскийEnglish

Other languages (optional)Email and interface language

3Qualifications and documents

Primary document: licence / certificate Document number / identifier Issuing country Issuing authority

Licences and certificates

PDF, JPG, PNG or WebP. Up to 5 files; up to 4 MB each and 12 MB in total. You can attach multiple pages and additional certificates. HEIC files and archives are not supported.

Add files

Documents are not published. Only system administrators and you, through your secure link, can access them for verification.

Additional information (optional)

Confirmations

Registration terms and privacy

COALESIA uses your contact details to verify your email and communicate about your application. Authorised system administrators review the details and documents; these do not become a public profile and are not used for advertising. Uploading documents does not verify your qualifications or authorise medical practice. An administrator decides account access. Patient access and clinical privileges are assigned separately. For data corrections, withdrawal of consent or application deletion, contact care@coalesia.com. Applications and decisions are stored on the server; documents are encrypted at rest.