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ClinicSaver - Partner Clinic Application


🏥 Clinic Info Section

What's your Clinic name?

Where is your Clinic located? (City & Area)

What type of Clinic are you?

What type of Clinic are you?

How many years have you been operating?


👤 Contact Person

Full Name

Position at the Clinic

Phone Number (Whatsapp)

Email Address


đź’¸ Discounts

What discount range are you open to offering?

What discount range are you open to offering?

📸 Online Presence

Instagram Handle

Clinic Website


📢 Referral

Where did you hear about ClinicSaver?

Where did you hear about ClinicSaver?
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