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Request an Appointment

We're here to make managing your healthcare easier. Please complete the form below to receive a callback to schedule your appointment.

Who is this appointment request for?

Myself Someone else

Your Information (Step 1/3)

(As it appears on your Emirates ID or passport)

Please note, patients under the age of 14 are only accepted in our Emergency Department and Eye Institute

Your Information (Step 1/4)

First Name

Last Name

Date of Birth Only patients above the age of 18 can request their appointment

Gender

Male Female

Phone Number

Email Address

Nationality

First Name

Phone Number

Patient Information (As it appears on your Emirates Id or Passport) (Step 2/4)

Please note, patients under the age of 14 are only accepted in our Emergency Department and Eye Institute

Patient First Name

Patient Last Name

Date of Birth Patients under the age of 14 are only accepted in our Emergency Department and Eye Institute

Gender

Male Female

Phone Number

Email Address

Patient Nationality

Do you have an Emirates Id?

Yes No

Please enter your emirates ID and upload a copy of the front page

Emirates ID

Drag & drop here or Browse

Country of Residence

City

Residential Address

Appointment Information (Step 3/4)

Appointment Information (Step 2/3)

Is this the patient’s first visit?

Yes No

Preferred Callback Time

Patient Health Insurance Information (Step 3/3)

By providing patient health insurance details, we will verify your policy coverage and discuss with you if and how it applies at Cleveland Clinic Abu Dhabi

Patient Health Insurance Information (Step 4/4)

By providing patient health insurance details, we will verify your policy coverage and discuss with you if and how it applies at Cleveland Clinic Abu Dhabi

How would you like to pay for treatment at Cleveland Clinic Abu Dhabi?

Health Insurance Self Payment

I would prefer a virtual visit using video calling via the Health Portal.

A financial counsellor is available to discuss payment options

Health Insurance Payer

Group/Policy Information

To schedule your appointment, please call our Contact Center between 7:00am and 7:00pm, Monday to Friday. Alternatively you can complete our online form & request a callback to confirm your appointment.

Disclaimer: Patients under the age of 14 are only accepted in our Emergency Department and Eye Institute.

Our award-winning Emergency Department operates 24 hours a day, 7 days a week.

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Request an Appointment

Your Information (Step 1/3)

Your Information (Step 1/4)

Patient Information (As it appears on your Emirates Id or Passport) (Step 2/4)

Appointment Information (Step 3/4)

Appointment Information (Step 2/3)

Patient Health Insurance Information (Step 3/3)

Patient Health Insurance Information (Step 4/4)

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