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Welcome to DOTPhysicalDOCTORS!

Your Premier Membership subscription is confirmed. Thank You!
Your receipt has been emailed to you.

We’re excited to work with you to create your personalized Office Page.

Step 1.
Decide on the information you’d like to see on your Office Page.

Fill in the information fields on the form below. Then ‘send’.

Step 2.
Email up to 4 photos.

e.g. CME headshot, office reception area, staff, exam area, CME with patient, office exterior.
Please email photo attachments to support@dotphysicaldoctor.com

We’ll get started right away.

We’ll email you as soon as we have your Office Page ready for you to review.
Then you can let us know if there is anything you’d like to add or change.

Once we have your Office Page up, we’ll be able to “get on the same page” with you, and tailor it the way you like.

For help at any time you may email our team at support@dotphysicaldoctor.com.

FORM for Office Information
Note: Fields marked * are required fields.

    *CME Contact Name

    *CME Contact Email

    Please use an email address that you check often. This is the primary way we contact you and keep you informed of all updates. We promise to tread lightly in your inbox.

    *Admin Contact Name

    Doctors get busy, and sometimes we can't get hold of you when there's something to take care of. And telephone tag doesn't work either. So who else can help?

    *Admin Contact Email

    *Business Name

    *Your Office Page Headline

    *CME Name(s)

    You may have more than one CME

    *National Registry #(s)

    Information About Your Office
    (1 DOTPhysicalDOCTORS Subscription = 1 Office / Location)

    *Address

    *City

    *State

    *Zip

    *Parking

    Is there parking at your office for cars and small trucks only, or do you have parking for large commercial vehicles?

    If no office parking for large CMVs, is there is parking near your facility for a commercial vehicle as large as a bus or tractor-trailer? Please explain.

    *Telephone

    Fax

    *Information About Appointments

    *Time Zone

    *Days Available and Office Hours

    *DOT Related Services

    Other Medical Services

    Local Business Information

    Local Areas Served

    Your Office Website

    CME Bio / Unique Office Information

    Testimonials - What Drivers Are Saying

    Please use only authentic testimonials.

    Credibility is important so please include driver first name or initials, and driver city/state.

    Miscellaneous

    Requests to our support team

    Photos
    Please email your photos to us as an attachment - email to support@dotphysicaldoctor.com

    Once you click on the SEND button you will see a message at the bottom of the page.
    Look for: "Your information was sent successfully. Thanks."
    Any other message means there is an error, and you will need to correct something before your information is sent to us. You may need to refresh the page to reset an error.