Doctor Referral Form

Thank you for referring your patient through IMT. We want to make it easy for your patient to get treatment options and quality health care from our partner hospitals in the shortest time possible.

This brief form is to help us understand how we can best assist your patient and find them the right overseas medical treatment.

Kindly fill the form below with your patient’s correct information. This will enable the specialists/doctors at our partner hospitals to provide you with the correct feedback and right treatment options for your patient.

We thank you for trusting us to help provide the best service to your patient.

Doctor Referral Form

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