Home | Telemedicine Directory | Telemedicine Directory Form

Is Your Company Listed in the Worldwide Telemedicine Directory?

If you are a Telemedicine Healthcare Provider, Manufacturer, Education Program, or a Telemedicine Resource and would like to be considered for this directory, please complete and submit this form below. Please note that fields marked with an asterisk "*" are required.

When your organization is approved and listed, we will notify you and greatly appreciate, if possible, your placing a link back to us on your Resources page, Links page, or in another appropriate section of your website.

Thank you

Telemedicine.com

Company Name *
Web Site Address *
Brief Description *
Category (check 1 or more) *	Healthcare Provider
	Manufacturer
	Education Program
	Resource
Country *
State *
City *
Telephone Number Please complete, if you would like your telephone number listed, otherwise leave blank
Contact Name Will NOT be displayed on directory
Contact Email Address * Your Email Address will NOT be displayed on Telemedicine.com's Worldwide Directory. However, we will not post any listing without a valid email address due to the fact that we will need to communicate with you regarding your listing.
Comments/Instructions Please include any special concerns or comments here