Provider Verification

Submit your details to onboard as a Wellyfy provider. We’ll verify your license and practice information and then connect your account to YodocEMR for scheduling and telehealth.

Secure submission

Identity & Contact

Full name*

Work email*

Mobile / contact number

Select country code and enter your local number (digits only, no spaces).

Clinic / practice name

License verification

Licensing state (e.g. VA)*

Profession / board*

State license number*

NPI (if applicable)

Practice website

Upload state license document (PDF or image)*

Accepted formats: PDF, JPG, PNG, GIF, WEBP (max 10MB).

Optional supporting documents

Upload identity document (optional)

Passport or government ID.

Upload clinic attestation / proof (optional)

Example: letterhead, registration, insurance panel letter.

Notes

Anything else we should know?