Appointment Referral

Contact

Nesma'ak

Appointment Request Form

Patient's name as it appears on the passport *

Date of Birth *

Passport Number *

Nationality *

Contact Number *

We recommend adding your email address, so you can track your request.

Referring doctor (Doctor Name) *

Preferred Language

Preferred dates of travel

Who are you seeking care for?

Emergency contact person

Relationship

Communicator name

Contact Number *

Please attach Patient's passport copy, Medical report and Clinical referral

Attach Patient's passport copy *

Please make sure that you do not exceed the upload limit of 3 MB.

Attach Patient's medical report *

Please make sure that you do not exceed the upload limit of 3 MB.

Attach Patient's clinical referral *

Please make sure that you do not exceed the upload limit of 3 MB.

Submit

Hamad Medical Corporation

HMC is the principal public healthcare provider in the State of Qatar, delivering the safest, most effective and most compassionate care to each and every one of our patients.

Hamad Medical Corporation
PO Box 3050

(+974) 4439 5777
Doha, Qatar

contactus@hamad.qa

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Appointment Referral

Nesma'ak

Emergency contact person

Please attach Patient's passport copy, Medical report and Clinical referral

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Hamad Medical Corporation

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