For referring clinicians
Refer a patient in 30 seconds.
For GPs, dentists, ENT, oncology and specialists across Mumbai, Thane, Ambarnath, Kalyan, Dombivli, Ulhasnagar, Badlapur and Navi Mumbai. Send a patient to Dr. Bipin R. Upadhyay (MDS Oral Medicine & Radiology, HOD Dentistry, K.J. Somaiya) without phone tag, faxes or login walls — DPDP-compliant patient consent, automatic status updates, signed referral reply.
How it works
- You submit this form — 30 seconds, no login.
- We generate a single secure consent link for the patient.
- You forward the link to the patient on WhatsApp (one tap from the next screen).
- Patient gives DPDP consent → booking opens with your referral pre-attached.
- You receive WhatsApp/email updates: acknowledged → booked → seen → signed report.
Common questions
Do I need to register or log in to refer a patient?
No. Submit the referral once, your details are remembered on this device for next time. A 30-second referral becomes a 10-second one from your second referral onwards.
Is patient consent handled for me?
Yes. We send your patient a single secure consent link. No clinical detail is shared with anyone until the patient consents — this satisfies DPDP and NMC Telemedicine 2020 requirements.
Will I get an update on what happened?
Yes. You receive a WhatsApp/email when the patient is acknowledged, when an appointment is booked, when the patient is seen, and finally a signed referral reply (PDF) from Dr. Upadhyay.
Can I share this referral form with colleagues?
Yes — share the page link. Each referring doctor gets a personal referral identifier once they refer their first patient.
Data handled under India's DPDP Act 2023 and NMC Telemedicine Practice Guidelines 2020. Grievance Officer: Dr. Veena Maurya Upadhyay · +91-9970324712 · smilecare_veena@rediffmail.com. Reach Dr. Upadhyay's clinic directly: +91 78228 33341.