Self Registration

Registration Form

Patient Information

Emergency Contact

Kin Details

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Title

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First Name

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Last Name

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Gender

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Date of Birth

Code

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Mobile

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Email

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Select Nationality

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Select Document Type

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Document ID

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First Name

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Last Name

Code

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Mobile

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Select Nationality

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Select Relation

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Ashimya, We have got your appointment confirmed.

Patient ID : 12345678

Disclaimer : Your insurance eligibility will be checked at the facility before your appointment start. Kindly keep your ID and insurance card ready.

Name	Provider	Purpose	Expiry	Type
Operational
_ga	Google	Registers a unique ID that is used to generate statistical data on how the visitor uses the website.	2 years	HTTP Cookie
_ga_#	Google	Used by Google Analytics to collect data on the number of times a user has visited the website as well as dates for the first and most recent visit.	2 years	HTTP Cookie
Functional
cookies_policy	Burjeel Holdings	Stores the user’s cookie consent state for the current domain.	1 year	HTTP Cookie
SERVERID	Closir		Session	HTTP Cookie
_hjSessionUser_#	Closir		1 year	HTTP Cookie
_hjSession_#	Closir		1 day	HTTP Cookie
CLID	Euroland		351 day	HTTP Cookie
MUID	Euroland		371 day	HTTP Cookie
Marketing
VISITOR_INFO1_LIVE	YouTube	Tries to estimate the users’ bandwidth on pages with integrated YouTube videos.	180 days	HTTP Cookie
YSC	YouTube	Registers a unique ID to keep statistics of what videos from YouTube the user has seen.	Session	HTTP Cookie