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  • Patient Registration Form

    Please fill in the form below
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  • Consent To NABIDH

  • The NABIDH HIE is a medium that allows your health information to be shared by participating providers including medical groups, hospitals, labs, radiology centers, and other health care providers through secure, electronic means.

  • Participation is voluntary and will not affect your ability to receive medical care. If you optout, the NABIDH will block access to your health information even for emergency treatment.


    This means that it may take longer for your healthcare providers to get the medical information they may need to treat you. Even if you do not want to participate in NABIDH, Emirate of Dubai law reporting requirements will still be fulfilled through Public Health Registries and research. This means your health information will be used anonymously

  • 1. ANAMNESIS


  • 2. DENTAL ANAMNESIS

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