i.e. MD., etc.
i.e. 09xxxxxxxxx
(Must be active email address)
i.e. Example@123, S@mple123
Selected practices:
Types: .jpeg .jpg .png .bmp .svg
Specimen Signature See Example Here Types: .jpeg .jpg .png .bmp .svg
Clinic Information

Add Another Schedule

We require this information as Xynapx, Inc. will be disbursing patient payments coursed through the Paymaya Payment Platform directly to your bank account. We can disburse payments directly to your personal accounts with all major banks.