Register your medical facility

Welcome to our partner network in the field of healthcare services.

We are at Coordinate and Organize Medical Tourism Services Company offers comprehensive medical tourism services. We strive to build an integrated medical network of highly qualified healthcare providers, aiming to deliver the highest standards of care to both local and international patients, in accordance with the highest quality and international accreditation standards
If you are a medical facility or a specialized service provider, joining our network represents a step toward a fruitful partnership that ensures collaboration in delivering comprehensive and safe healthcare services to our patients from around the world.

Please fill out the following form accurately and submit it to our specialized team. Your application will be carefully reviewed, and you will receive a response as soon as the evaluation is completed.

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General Information

Name of the Medical Facility

A copy of the official letter requesting registration and contracting with our medical network

Please attach a signed and stamped copy of the official letter requesting to join and contract with our medical network.

A copy of the facility’s commercial registration certificate

Please attach a copy of the commercial registration certificate.

Please attach a copy of the medical license.

URL link

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Contact information

Name of the person in charge

Job title

Phone

Confirm Email

Additional information

What is the legal entity type of the hospital?

الطبية او

Number of international patients admitted during the past year

Does the hospital have international accreditation certificates?

Is the medical service provider specialized or general?

Does the hospital have agreements with international insurance companies?

List of medical / health specialties

Please add your specialties.

Price lists and treatment packages in US dollars

Please add your price list.

The company’s commission percentage for patient referrals

Contract (Agreement) Template

Please add your contract template.

Medical Case Referral Form

Please add your medical referral form.

I declare that all the information and data submitted in this form are correct and accurate, and I acknowledge that they will be used exclusively for the purpose of contracting to coordinate and deliver healthcare and medical services.