Appointment Request

Select your appointment type

Adult Pediatric International

* Patient Name

* ID Document

* Date of Birth

Who is requesting?

Patient Doctor School

* Doctor's Contact

* Doctor's Email

* School Name

School Contact

School Email

* Patient Contact Details

* Patient Email

* Country

* Service Needed

Additional Document

Choose file

Only jpg, jpeg, png and pdf files are accepted

* Referral Medical Center

Insurance Provider

Other Insurance Provider

Insurance Number

* Provisional Diagnosis

Fields are required

For urgent appointments or referrals, please call 40033333

For non-urgent inquiries, please email physicianconnect@sidra.org

Please note that you can also DOWNLOAD our mobile application to track your referral status.

More Information

Sidra Medicine will not, under any circumstance, share or sell your personal information with other individuals or organizations without your permission, including public organizations, corporations or individuals, unless compelled by Qatari law.

Appointment Request

For Inquiries

For urgent appointments or referrals, please call 40033333

For referral instructions please click here.