Profile Removal/Changes Request

HERO DOCTOR

Doctor Profile Request

Are you a doctor or an authorized representative and want to update, correct, or remove a profile from Hero Doctor? Please submit the details below.

Doctor's Full Name *

Email Address * We may use this email address to contact you regarding your request.

Doctor Profile URL * Copy and paste the Hero Doctor profile page URL here.

City

Request Type * Select an option Update my profile Remove my profile Report incorrect information Other request

Request Details *

I confirm that I am the doctor named above or an authorized representative of the doctor, and that the information provided in this request is accurate.

Clicking "Send Request" will open your default email application with your request details prepared for submission.