Refer a Patient

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Refer a Patient

At Reem Hospital, we eagerly embrace the chance to collaborate with you, aiming to enhance the well-being of our patients and achieve optimal results together.

This form is designated for completion solely by a Medical Practitioner or a Healthcare Provider. If you wish to consult with a medical professional prior to referring a patient, please dial 800 7 444

Medical Professional’s Name

Medical Professional Email

Medical Professional’s Contact Number

Healthcare Facility name

Appointment Timeframe

Refererred to Speciality

Refererred to Doctor

Patient Full Name

Patient Contact Number

Please tell us the patient’s primary reason for visit or if you have additional comments?

REFER A PATIENT

REFER A PATIENT

At Reem Hospital, we eagerly embrace the chance to collaborate with you, aiming to enhance the well-being of our patients and achieve optimal results together.