Referral Form

Our Referral Form provides a fast, secure way for healthcare professionals and organizations to refer patients directly to Dr Marwan. The form is designed to capture the essential information needed to coordinate care quickly and efficiently. Please include the patient’s demographic details, the reason for referral, relevant clinical history, medications, and any supporting documents such as test results or imaging reports.

Every referral is reviewed promptly by our clinical team. Based on the information provided, we will contact the patient and, if required, the referrer to confirm details, arrange an appointment, or request additional information. Marking urgent cases clearly helps us prioritize and respond appropriately.

All data submitted through this Referral Form is treated with strict confidentiality and handled in accordance with privacy regulations. For emergencies or life-threatening symptoms, please call your local emergency services instead of using this form.