Ujima Health Connect Ujima Health Connect

Nominate a Provider

Basic Listing

Use this form to submit a new provider to the Ujima Health Connect directory or to submit your own practice if you are a provider.

Before You Submit:

  • Check the directory first. Search for the provider's name before submitting to avoid duplicate listings. If they're already listed, no action is needed.
  • Claiming an existing listing is separate. If you're a provider looking to claim and customize your profile, visit the "Upgrade Your Listing" tab at ujimahealthconnect.com/pricing/ to upgrade to a Verified or Featured plan and submit the URL to the listing you're claiming.
  • Listings are not published instantly. Our team reviews each submission before it goes live.

The best email to reach you if we have questions about this submission

Your name - the person completing this form (this may be the provider or someone submitting on their behalf)

First and last name of the provider being listed

Must include https:// — for example: https://www.yourpractice.com

Optional

Categories

Comma separated social links

Powers the "Send Email" contact action on cards and profiles.

If virtual-only, please enter: VIRTUAL

e.g. MD, MS, RN, FNP, PA

Enter Health System Affiliation (if applicable)

The member's role or job title, shown under their name on cards and profiles.

Choose Profile Type