As-Salam International Hospital In-Person Appointment Request

Kindly fill the form below to submit an in-person consultation request at As-Salam International Hospital.

Appointment details

Specialty *

Doctor name (if you have a preference)

Preferred appointment date *

Preferred time *

State your medical concern or request *

Patient details

Full name * (as on passport)

Gender

Date of birth *

Email address *

Phone number * (include country code)

Nationality *

By clicking submit you agree to allow us to share your information with the specialists at As-Salam International Hospital and you agree to our Terms of Use and Privacy Policy.