Refer a Patient to CMC Dubai | Physician & Patient Support

At Clemenceau Medical Center Hospital Dubai (CMC Dubai), we welcome the opportunity to partner with healthcare providers to achieve the best possible outcomes for our patients.

Refer a Patient

This referral form is to be filled only by licensed medical practitioners or healthcare providers. Once completed, our patient care team will contact the patient to facilitate the process. Please note: this channel is for outpatient referrals only. Critical cases will be prioritized, but arranging the most suitable care may take time.

Medical Professional Name

Medical Professional Email

Medical Professional Contact Number

Healthcare Facility Name

Appointment Timeframe

Referred to Clinic

Patient Full Name

Patient Contact Number

Patient Residency

Emirates ID (Optional)

Please tell us patient’s primary reason for visit or if you have additional comments?

Clemenceau Medical Centre Hospital

Please feel free to contact our friendly staff with any medical enquiry.

About Us