Licensing application

Tell us about your practice.

About fifteen minutes of questions and one logo upload. Your answers shape your edition — what's on the cover, the voice it carries, who it speaks to.

Section A of H · About you13%

Section A

About you and your practice.

The basics — your name, your qualifications, where you work, how to reach you.

Full name (as it appears on the cover) *

Qualifications, full version (for the copyright page) *

The complete list as you'd want it set.

Qualifications, short version (for the title page)

Optional — a trimmed line that fits a title page. We'll derive one from your full list if you leave it blank.

Years in clinical practice *

Round to the nearest five — e.g. "over 20 years".

Town, city, or county for in-text references

Optional — a place that means something to your patients.

Practice name *

Practice address (all locations) *

If you have multiple locations, list each on a separate line.

Practice phone *

Practice email *

Practice website *

Operating area for licence exclusivity *

The area you primarily serve. See licence terms for how we handle area exclusivity.

Your direct email (for application correspondence) *

Where Dr Jamall will reply with your terms and payment link.

Your direct phone (optional)

Your application goes directly to Dr Jamall. Nothing is shared with third parties. We hold your details only for as long as we need to prepare your proofs and process your licence.