Apply as a provider

Choose provider category

Select what you are registering as. This controls the legal verification form.

Government Health Institution

Government Hospitals & Public Health Institutions

Apply →

Reserved for Sri Lanka’s government health service providers.

Medical Center

Tick this if you are registering a Medical Center. We will auto-select Institution → Medical Center.

Basic provider information

This is what patients will see in search and your profile page.

Display name

Short description / bio

Services offered

Consultation type

Years of experience

Contact & location details

Location is optional. You can skip it now and add it later (recommended for better visibility).

Phone

WhatsApp number

Email

Password

Re-type Password

Website (optional)

Address line 1

Address line 2 (optional)

City

District

Province

Nearby landmarks

Location pin (optional)

You can skip for now, or select on map / paste a Google Maps URL.

Skip for now Select on map Google Maps URL

Selected location

✅ Verified

Open in Google Maps

Latitude

Longitude

Select your location

Search or click the map to place a pin.

Selected

Lat: -

Lng: -

We use Google Maps for the picker.

Google Maps URL

We will try to detect the exact place from the URL. Coordinates will be saved, but not shown here.

If your browser blocks location access, you can still click on the map to place the pin.

Operating details

Days, hours, and languages patients can use.

Opening days

Mon Tue Wed Thu Fri Sat Sun

Opening time

Closing time

Special hours / notes

Emergency availability

Yes No

Languages

Sinhala Tamil English Other

Other language

Media & branding

Upload images that will be shown on your profile (after approval).

Profile image / logo

Max 2MB (JPG/PNG)

Cover image

Max 4MB (JPG/PNG)

Facility / place images (optional)

Max 2MB per image

Certificates (optional)

PDF/JPG/PNG (max 4MB each)

Legal & verification information

Admin will verify these details before approving your listing.

For individual professionals

Full name (as per license)

SLMC registration number

SLMC registration year

NIC / Passport number

Specialization certificate (required)

PDF/JPG/PNG (max 4MB)

For institutions

Business / Institution name

Business registration number (if available)

Owner / Director name

Owner NIC

MOH registration (if applicable)

PHRC License (PDF) upload (if applicable)

PDF (max 4MB)

For pharmacies / suppliers

Pharmacy / business name

NMRA registration number

Superintendent pharmacist name

SLMC / SPC registration number

BR number

For emergency / support services

Service provider name

Business registration number

Emergency contact number

Service license (required)

PDF/JPG/PNG (max 4MB)

Before submitting

I confirm that all submitted information is accurate.

I agree that LankaMedical.lk only provides listing services, and I accept the Terms & Conditions and Privacy Policy.

I understand false information may lead to removal.

Consent to admin verification and document review.