MD UNBOUND · PHYSICIAN INTAKE

Build the professional record that follows you.

Complete this once. MD Unbound converts the record into a durable, physician-controlled website designed for AI discovery and career portability.

Do not enter patient names, photographs, medical record information, testimonials, or any protected health information.

1 · Website level

Selected level

Your selected level determines the number of pages, depth of narrative, evidence architecture, education content and ongoing maintenance. Specialty information changes the content—not the production system.

2 · Identity and position

First name *

Last name *

Credentials *

Professional title *

Specialty *

Subspecialty

Years in practice

Pronouns

Current role

Current employer

Faculty appointment

City *

State *

3 · Domain

Preferred domain

Alternative domains

4 · Professional narrative

Short biography *

Full biography *

Professional philosophy

What should AI understand you are known for?

Primary audiences

5 · Expertise and experience

Areas of expertise *

Career experience

Honors and awards

Professional societies

6 · Training

Enter one item per line in the format: Institution | Program | Year

7 · CV, scholarship and media

Upload the most current CV available. We will extract and professionally organize appointments, training, honors, societies, lectures, media, research and publications. Every factual item remains subject to physician review before publication.

Upload CV

PDF, DOC or DOCX · maximum 10 MB. The downloaded intake package contains the selected CV for processing.

Primary name used in publications *

Current institution for author matching

Other names or initials used in publications

Google Scholar profile URL (if known)

PubMed URL

ORCID URL

LinkedIn URL

Selected publications

Speaking and media

8 · Education topics and authority content

Enter one topic per line in the format: Title | One-sentence summary

9 · Reputation, video and source material

Review source links

We preserve source, date and context. Do not paste patient identifiers or private correspondence.

Video and podcast links

Additional evidence links

10 · Contact and photographs

Professional email *

Phone

Scheduling URL

Contact note

Headshot filename

Photographs are uploaded separately. Use professional, high-resolution images for which you own the rights.

11 · Required attestations

I confirm that the professional information supplied is accurate. I authorize links to the supplied publications and profiles. I own or have permission to use all supplied photographs. I confirm that I have not supplied protected patient information.

Approval name

Date