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)

Already listed? These existing listings look similar:

First and last name of the provider being listed

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

Optional

Categories

Comma separated social links

Enter Health System Affiliation (if applicable)

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

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

If virtual-only, please enter: VIRTUAL

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

Choose Profile Type