Alaela Initiative

Are you Emirati?

Dedicated Family Physician Selection for Emirati Families

Personal Information:

Address*

Date of Birth*

Family Members

Do you wish for all family members to have the same family physician?

Member Name*

Select Relationship*

Emirates ID*

Date of Birth*

Current Family Medicine Physician (if any)

Physician Preferences:

Please click to view your Doctor’s Profile

Agreement and Consent:

By submitting this form, I consent to the assignment of a family physician under the Al Aela initiative, which enables me to stay in direct contact with my assigned physician and their team for support and guidance. I agree to the terms of the program.

I acknowledge the following:
•⁠ ⁠The e-card confirming my assigned family physician will be sent to my registered email address, and the physical card will be sent to the address I provided above.
•⁠ ⁠This service is designed to provide easier access to the assigned doctor for medical questions or concerns but is not intended for obtaining medical reports, nor is it a priority service or an appointment booking service.
•⁠ ⁠Responses to calls or chats made outside working hours may be subject to minor delays.
•⁠ ⁠If the assigned doctor is no longer affiliated with American Hospital, a communication will be sent to you to select a different provider.

By signing and submitting this form, I confirm my understanding and agreement with the terms outlined above.

How can we help?

Select type

Alaela Initiative

Are you Emirati?

Thank you for your interest in the Alaela Initiative. Unfortunately, this program is exclusively for Emirati citizens.