There are only a few steps to get started.
—Please choose an option—Abu DhabiAl AinDubaiSharjahAjman
NoYes
Please list your drug allergies and what happens when you use that drug.
Please include any antibiotics, name of birth control, as well as any over-the-counter and herbal dietary or potassium supplements.
NoYes In order for us to provide you with the best care, please let us know what medications you take and what conditions you have.
NonePregnant or planning to become pregnantBreastfeedingHistory of kidney problemsHistory of liver problemsA diagnosed immune disorderOther Please specify
YesNo
Tell us about any concerns or questions you have for the medical team.
Out of pocketInsurance upload emirates insurance details (if available) Upload a Photo of your Emirates ID Upload Front Upload Back
Google MapDelivery Location Google Map: (Please Share your Google Map Link) Delivery Location Neighborhood/Area: Street Name/No: Address Details:
Title: Mr.Ms. First Name: Last Name: Mobile Number: E-mail:
After you submit your request, a licensed medical provider will review your information. You will be notified by email/contact number when that provider has reviewed your request and, if appropriate, made care recommendations.