Submit your listing – Physicians of Malaysia

Name

PrefixFirst NameLast Name

Title

Organization

Department

Contact First NameContact Last Name

Image

Select Image:

Maximum upload file size: 2 MB.

Logo

Select Logo:

Maximum upload file size: 2 MB.

Addresses

<div class="widget-title">
				<h4>
					<span class="address-type">
					<label for="cn-address[::FIELD::][type]" >Address Type</label><select id="cn-address[::FIELD::][type]" name="address[::FIELD::][type]" ><option value="work" selected='selected'>Hospital</option><option value="clinic" >Clinic</option><option value="home" >Centre</option><option value="school" >Organisation</option></select>
<span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-address[preferred][::FIELD::]" name="address[preferred]" value="::FIELD::" /><label for="cn-address[preferred][::FIELD::]" >Preferred</label></span>
</span></span>
					</span>
					
				</h4>
			</div>

</div>

<div class="address-line"><label for="cn-address[::FIELD::][line_1]" >Address Line 1</label><input type="text" id="cn-address[::FIELD::][line_1]" name="address[::FIELD::][line_1]" value="" /></div><div class="address-line"><label for="cn-address[::FIELD::][line_2]" >Address Line 2</label><input type="text" id="cn-address[::FIELD::][line_2]" name="address[::FIELD::][line_2]" value="" /></div><div class="address-line"><label for="cn-address[::FIELD::][line_3]" >Address Line 3</label><input type="text" id="cn-address[::FIELD::][line_3]" name="address[::FIELD::][line_3]" value="" /></div><div class="address-line"><label for="cn-address[::FIELD::][line_4]" >Address Line 4</label><input type="text" id="cn-address[::FIELD::][line_4]" name="address[::FIELD::][line_4]" value="" /></div>
			</div>

<div class="address-city"><label for="cn-address[::FIELD::][city]" >City</label><input type="text" id="cn-address[::FIELD::][city]" name="address[::FIELD::][city]" value="" /></div><div class="address-state"><label for="cn-address[::FIELD::][state]" >State</label><input type="text" id="cn-address[::FIELD::][state]" name="address[::FIELD::][state]" value="" /></div><div class="address-zipcode"><label for="cn-address[::FIELD::][zipcode]" >Zipcode</label><input type="text" id="cn-address[::FIELD::][zipcode]" name="address[::FIELD::][zipcode]" value="" /></div>
			</div>

<div class="address-country"><label for="cn-address[::FIELD::][country]" >Country</label><input type="text" id="cn-address[::FIELD::][country]" name="address[::FIELD::][country]" value="Malaysia" /></div>
			<div class="address-geo">

<div class="address-latitude"><label for="cn-address[::FIELD::][latitude]" >Latitude</label><input type="text" id="cn-address[::FIELD::][latitude]" name="address[::FIELD::][latitude]" value="" /></div><div class="address-longitude"><label for="cn-address[::FIELD::][longitude]" >Longitude</label><input type="text" id="cn-address[::FIELD::][longitude]" name="address[::FIELD::][longitude]" value="" /></div>
				
			</div>

<input type="hidden" name="address[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="address"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Address

Phone Numbers

<label for="cn-phone[::FIELD::][type]" >Phone Type</label><select id="cn-phone[::FIELD::][type]" name="phone[::FIELD::][type]" ><option value="homephone" selected='selected'>Main line</option><option value="homefax" >Appointment line</option><option value="cellphone" >Direct line</option><option value="workphone" >Mobile number</option></select>
<span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-phone[preferred][::FIELD::]" name="phone[preferred]" value="::FIELD::" /><label for="cn-phone[preferred][::FIELD::]" >Preferred</label></span>
</span></span>

</h4>
			</div>

</div>

<label for="cn-phone[::FIELD::][number]" >Phone Number</label><input type="text" id="cn-phone[::FIELD::][number]" name="phone[::FIELD::][number]" value="" />
			</div>

<input type="hidden" name="phone[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="phone"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Phone Number

Email Addresses

<label for="cn-email[::FIELD::][type]" >Email Type</label><select id="cn-email[::FIELD::][type]" name="email[::FIELD::][type]" ><option value="personal" selected='selected'>Personal Email</option><option value="work" >Work Email</option></select>
<span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-email[preferred][::FIELD::]" name="email[preferred]" value="::FIELD::" /><label for="cn-email[preferred][::FIELD::]" >Preferred</label></span>
</span></span>

</h4>
			</div>

</div>

<label for="cn-email[::FIELD::][address]" >Email Address</label><input type="text" id="cn-email[::FIELD::][address]" name="email[::FIELD::][address]" value="" />
			</div>

<input type="hidden" name="email[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="email"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Email Address

Messenger IDs

<label for="cn-im[::FIELD::][type]" >IM Type</label><select id="cn-im[::FIELD::][type]" name="im[::FIELD::][type]" ><option value="whatsapp" selected='selected'>Whatsapp</option><option value="telegram" >Telegram</option></select>
<span class="preferred"><input type="hidden" id="cn-im[preferred]" name="im[preferred]" value="" /></span>
				</h4>
			</div>

</div>

<label for="cn-im[::FIELD::][id]" >IM Network ID</label><input type="text" id="cn-im[::FIELD::][id]" name="im[::FIELD::][id]" value="" />
			</div>

<input type="hidden" name="im[::FIELD::][uid]" value="">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="im"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Messenger ID

Social Media IDs

Add Social Media ID

Links

<label for="cn-link[::FIELD::][type]" >Type</label><select id="cn-link[::FIELD::][type]" name="link[::FIELD::][type]" ><option value="mmc" >MMC</option><option value="nsr" >NSR</option><option value="website" selected='selected'>Website</option><option value="blog" >Siilo Secure Messaging</option><option value="teleme" >Telemedicine</option></select>
<span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-link[preferred][::FIELD::]" name="link[preferred]" value="::FIELD::" /><label for="cn-link[preferred][::FIELD::]" >Preferred</label></span>
</span></span>

</h4>
			</div>

</div>

<label for="cn-link[::FIELD::][title]" >Title</label><input type="text" id="cn-link[::FIELD::][title]" name="link[::FIELD::][title]" value="" />
			</div>

<span class="target"><label for="cn-link[::FIELD::][target]" >Target</label><select id="cn-link[::FIELD::][target]" name="link[::FIELD::][target]" ><option value="new" selected='selected'>New Window</option><option value="same" >Same Window</option></select></span>
<span class="follow"><select id="cn-link[::FIELD::][follow]" name="link[::FIELD::][follow]" ><option value="nofollow" selected='selected'>nofollow</option><option value="dofollow" >dofollow</option></select></span>

</div>

<label>
					<input type="radio" name="link[image]" value="::FIELD::" >
					Assign link to the image.				</label>
				<label>
					<input type="radio" name="link[logo]" value="::FIELD::" >
					Assign link to the logo.				</label>

</div>
			
						<input type="hidden" name="link[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="link"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Link

Biographical Info

Practice notes

Business Hours

Weekday	Open	Close	Add / Remove Period
Weekday	Open	Close	Add / Remove Period
			–+
Monday			–+
Tuesday			–+
Wednesday			–+
Thursday			–+
Friday			–+
Saturday			–+
Sunday			–+

To create a closed day or closed period within a day, leave both the open and close hours blank.

Name

Category

Image

Logo

Addresses

Phone Numbers

Email Addresses

Messenger IDs

Social Media IDs

Links

Biographical Info

Practice notes

Business Hours