Clinic Application

Join CavClinics and connect with thousands of patients across Cavite. Complete the application form below and our team will review your clinic within 2-3 business days.

1
Clinic Info
2
Location & Contact
3
Owner Details
4
Documents
5
Hours

Clinic Information

Tell us about your dental clinic

This will be used as the clinic profile/logo image.

Upload clinic profile photo JPG, JFIF, PNG, GIF, or WebP up to 5MB

This will be used as the clinic card/banner cover image.

Upload clinic cover photo JPG, JFIF, PNG, GIF, or WebP up to 5MB

Upload at least 1 clinic photo so patients can recognize your establishment (max 3 photos). Tip: Hold Ctrl or Shift in File Explorer to select multiple photos at once.

Drag & drop photos here or browse JPG, JFIF, PNG, GIF, or WebP up to 5MB each (At least 1 photo, max 3)

Location & Contact

Where can patients find you?

Contact Information

Owner/Representative Details

Who is responsible for this clinic?

This is your personal email (preferably Gmail) that will be used as your clinic admin login account. This is different from the clinic's general email.

Upload a clear scan of your valid ID in PDF format (front and back)

Upload ID scan (PDF only) PDF up to 5MB

Legal Documents

Upload documents to verify your clinic's legitimacy

Why do we need these documents?

To ensure patient safety, we verify that all clinics on our platform are legally registered and professionally operated. Your documents are kept confidential and secure.

Current year permit from your LGU

Upload Business Permit (PDF)

Business name registration certificate

Upload DTI/SEC Certificate (PDF)

Form 2303 / Certificate of Registration

Upload BIR Certificate (PDF)

License for dental clinic operation

Upload FDA License (PDF)
Professional Licenses

Valid and updated PRC ID

Upload PRC License (PDF)

Valid and updated PRC ID

Valid and updated PRC ID

Complete name as shown on PRC ID

Any other certifications, awards, or accreditations

Upload additional documents (PDF only) PDF up to 5MB each

Operating Hours

When is your clinic open? You can add your services after approval.

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Terms & Agreement