If you are taking an appointment for the first time, or if this will be your first visit to Al Zahra, please fill in the Registration Form
Department :
Doctor :
3. Full Name :
4. Date :
5. Preferred Time
6. Prefered Location :
7. Tel No. :
8. E-mail :
9.Hospital No:
(if known)
Brief Description of the Medical Problem :
Appointments can be requested via the web site at least 48 hours prior to the preferred date/time. We will contact you with a confirmation in due course.