Partner Registration

Become a Referral Partner

Complete the form below. Fields marked with * are required.

Partner Details

Tell us about your practice or organization

JPG, PNG or WebP. Max 2 MB.

Contact Information

How AMC can reach you for approval & portal access

+92
Must be 11 digits starting with 03 (e.g. 03001234567)
Used as your portal login username after approval

GPS Location

Optional — helps AMC verify your practice location

Allow location access. GPS may take a few seconds for an accurate fix — mobile GPS works best.