Please ensure Javascript is enabled for purposes of website accessibility

List Your Clinic Or Practice

Your Details

Enter your name.
Enter your email address.

Enter Listing Details

Select your package.
Tick "Yes" if listing has franchises.
Select fields to lock from franchise edit.

Personal Contact Info

( Please enter your PERSONAL contact info. )
First & Last Name
Physicians, This Means Your Personal Cell Number, NOT Your Office or Secretaries Phone Number.
Please Enter Your PERSONAL Email Address, Where We Can Reach Out To You Directly

Business Information

( Please Enter Your Business Information Below )
Physician Or Clinic Name
Please Enter The Applicant Practioner's 10-Digit NPI Number
Please Enter In a Bio or Description For Yourself or Your Clinic (I.e., About Us/Me)
Select Features That Best Describe You or Your Business (Basic = 3 | Featured = Unlimited)
All DoctorsFeatured DoctorsFemale PhysiciansLGBTQ+ Friendly DoctorMale DoctorMandarin Speaking DoctorMinority Owned ClinicSpanish Speaking DoctorSpecial Needs Friendly Doctor
Select at least one Category
The default category can affect the listing URL and map marker.
Please Enter The Physical Address Where Patients Will Visit You
Please enter listing Address line 2 (optional)
Click on above field and type to filter list or add a new city.
Please enter listing Zip/Post Code
Click on “Set Address on Map” and then you can also drag map marker to locate the correct address
Please enter latitude for google map perfection. eg. : 39.955823048131286
Please enter longitude for google map perfection. eg. : -75.14408111572266
Select your business opening/operating hours.
Please Put The Phone Number Of Your Dispensary Here (ex: (888) 888-8888
Please Enter The Contact Email For Your Practice/Clinic (Where Patients Can Reach You At)
Enter Your Practice/Clinic Website With The https:// included (ex:
Enter Your Consultation Price (do NOT add $ symbol)

Business Social Media

( Please Enter The Business Social Media Accounts For The Clinic Or Physican )
Enter your business/clinic facebook page url ONLY. Do not enter your personal FB page.
Enter your business/clinic instagram url
Please Enter Your LinkedIn Practioner URL
Please Enter Your Twitter URL (With The https:// At The Beginning)
Enter Your Twitter Username/Handle WITHOUT the @ – And We Will Add Your Feed Live To Your Listing
Add video url or code here (YouTube, Vimeo, etc.) (*ALL VIDEOS SUBJECT TO LEGAL COMPLIANCE REVIEW AND APPROVAL)
Basic Package = Logo + 1-3 Images | Featured Package = Logo + 1-10 images (*ALL IMAGES SUBJECT TO LEGAL COMPLIANCE REVIEW AND APPROVAL)
Drop files here


Allowed file types: .jpg, .jpe, .jpeg, .gif, .png, .bmp, .ico, .webp
(You can upload 10 files)
Please drag & drop the files to rearrange the order
Please Select If You Are a MICA Member
Preview Listing