Healthcare Worker Sign Up
We are currently accepting registrations for licensed healthcare workers that can volunteer to help those in need via our telehealth platform. It is easy to use, and if you have even 15 minutes a day - or even a week - you can make a difference.
Help us stop the spread and save critical medical supplies in the war against the COVID-19 pandemic.If you will be able to help now or in the near future, please fill out the information below and our team will reach out on next steps.
We are working around the clock to launch this initiative and will be posting more public-facing content in the coming days at
liveclinic.com
.
* Required
Email address
*
Your email
Name
*
Your answer
Phone
*
Your answer
Zip / Postal Code
*
Your answer
NPI Number
Your valid 10 digit NPI (national provider identifier)
Your answer
Credential Type
*
Must be a credentialed physician (MD or DO), Nurse Practitioner, or PhD in the event of mental health care)
Choose
M.D. / D.O.
Nurse Practicioner
PhD (Non-medical: Mental Health /Counselor)
Physician Assistant
Other
About you
Anything else you'd like to share about yourself.
Your answer
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