Personal informations

First and last name, Telephone number, Email address…

Medical information

Name of attending physician, Reason for hospitalization...

Administrative documents

1-Identity document (valid CIN or passport). 2-Consent form duly completed and signed.

Type supported

The type of coverage provided (Name of insurance company, Commitment to coverage with details of coverage.

Provisions required at the entrance

Please plan for advance payment upon admission. Expected amounts will be adjusted based on your final bill.

Hospitalization plan

Admission dates, Room type (shared, single).

Emergency contact details

Name and telephone number of an emergency contact.

Identity vigilance

A system for monitoring and managing risks related to patient identification. For your safety, you will be provided with an identification bracelet throughout your stay.