Registration

New External Booking

To cancel your request or for support/clarification, please contact Patient Relations team at patient-relations@kaust.edu.sa

First Name

Last Name

Gender

Gov ID Type

Gov ID Number

Date Of Birth

Nationality

Mobile Number

File in KAUST Health

Booking Date

Booking Time

I Confirm that:

Above information is correct

My Age is between 18-60

My Weight is more than 50 KG

I did not donate blood in the last two months