Sign Up - Odigei IO

What's the URL for your website so we can add a link to your site.

English	Spanish

Click on to add new urls

What's your complete name?

Prefix First Last

Your Mobile Number*

What certifications and studies do you have? Please include graduation dates.

Certifications	Date

Click on to add new certifications and studies.

Please describe the professional services that you provide.*

Please describe the dental services that you provide.

Please describe the dermatology treatments that you provide.

Please describe the surgical services that you provide.

Please describe the legal services that you provide.

What medical insurance and surgery plans or packages do you accept / work with?

What medical insurance and dental plans do you accept / work with?

What medical insurance and dermatology plans do you accept / work with?

Any special awards? Please include award dates and organization giving the awards.

Special Awards	Organization	Date

Click on to add new awards.

Please upload photos (head-shot, office photos, team photos, etc) so that we can insert in your professional profile.

Drop files here or

Max. file size: 50 MB, Max. files: 10.

The right combination of text and graphics makes your profile more appealing.

What is your office located? (add physical address)

Street Address Address Line 2 City State / Province / Region Country

What are your hours of operation?

Day(s)	Hours

Do you have a dedicated phone number where Spanish-language patients or clients can call in case of an emergency after business hours or weekends?

Are members of your supporting team bilingual? Choose "Yes" if you have assistants that can communicate in Spanish.

Add a special note why Hispanic patients or clients in your geographical area should choose you.

Enter your email address here to verify your identity:*

Consent*

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