PICPA Dubai Breast Cancer Awareness & Check-Up Drive Registration

Breast Cancer Awareness & Check-Up Drive Registration

PICPA Dubai, in partnership with San Lucas Medical Center, is organizing a Breast Cancer Awareness and Medical Check-Up Drive. Please complete this short form to register your interest and secure your participation.
Exclusive Healthcare Offerings for PICPA Dubai Members

1. Medical Consultations
Insured Members: Consultation costs will be directly chargeable/billable to insurance (for accepted insurance providers).
Uninsured / Non-Eligible Insurance: A 30% discount on consultation fees will be provided for members without active or covered insurance at the clinic.

2. Breast Cancer Screening & Examinations
Clinical Breast Examination: Offered completely FREE of charge to all eligible members.

Breast Ultrasound: Provided at a 50% discount for members without insurance coverage.

How Members Can Avail of the Offer
Verification: Members will need to present proof of active PICPA Dubai membership (such as a valid digital membership card or registration ID) at check-in.

Insurance Direct Billing: Members utilizing insurance should bring their valid Emirates ID and insurance card to verify network coverage on-site.
Name

First NameLast Name
PICPA Dubai Membership No.
Please refer to your membership certificate.
E-mail Address
example@example.com
Mobile Phone No.
Please enter a valid phone number.Format: (000) 000-0000.
Age Group
(1) Name of Family Member

First NameLast Name
(2) Name of Family Member

First NameLast Name
(3) Name of Family Member

First NameLast Name
Which service are you interested in?
Preferred Contact Method
Consent
Should be Empty: