Referral Program

VisualDx Opportunity Registration Form

In this form, you’re expected to fill the doctor details before you approach him.

Please make sure to enter your name OR email here, the same one you used to register with Points Solutions Referral Program
Mobile number is preferred
what is the main specialty for the doctor, like Dermatologist or General Practitioner...etc
The name of the clinic or hospital
The country where the doctor is located
You can add any additional notes