Top Doctor Interactive Magazine – Profile Setup

Powered by AI Wellness

Welcome!

Thank you for participating in the Top Doctor Interactive Magazine Powered by AI Wellness. This form will help us collect the materials needed to create your AI avatar, schedule your magazine interview, and prepare your personalized interactive experience.

Please complete the following sections fully. Once submitted, you’ll receive a scheduling link and further instructions for avatar production.

Top Doctor Interactive Magazine

Personal & Practice Information

Full Name
Full Name
First Name
Last Name
Office Address
Office Address
City
State/Province
Zip/Postal

Biography & Credentials

Media Assets Upload

Please upload the following materials separately or via Google Drive/Dropbox link
Do you want to upload here or use Google Drive/dropbox link?

Maximum file size: 268.44MB

Maximum file size: 268.44MB

Maximum file size: 268.44MB

Maximum file size: 268.44MB

Maximum file size: 268.44MB

Avatar Personalization

Preferred Tone

Scheduling Availability

Are you available for a virtual magazine interview (Zoom)?

Consent & Legal

Media Release
Avatar Usage License (12-month Term)
Final Content Approval Form

Form of Payment & Introductory Pricing

We are thrilled to welcome you as one of the founding members of our inaugural launch.
Founding Partner Introductory Rate

Founding Partner Introductory Rate: $10,000.00

Regular Price: $25,000
(Only valid for the first 100 participants)
Total

Payment