Let us arrange your care.

Tell us what you need.

Your preference

Requested

Sexual and Reproductive Health

Northwest Clinic Day Surgical LLC

Subject to facility confirmation. We’ll ask you before changing your doctor.

1Who needs care?PatientPatient name

2Tell us what you needI do not know, please helpWhat do you need help with?Anything else we should know? (optional)

We help coordinate appointments and do not diagnose symptoms.

3Where and when?Where would you prefer care?EmirateArea or neighbourhood (optional)

Your area in the UAE helps us coordinate nearby care or a home visit.

Preferred timing

Timing is a preference, not a reserved slot.

4How can we reach you?Contact phoneEmail (optional)Patient’s Emirates ID (optional)

For the coordinator to check insurance eligibility. Providing an ID does not confirm coverage.

Online consultations are subject to insurer approval. Your coordinator will confirm cover and any amount you need to pay before booking.

Insurance (optional)Send a request receipt to my account’s WhatsApp number.

We’ll ask you to sign in when you submit. Your choices will stay here.

Your coordinator takes it from here
We review your request and contact you and the facility.
Confirm the details together
Your appointment is confirmed only after the facility agrees.