I__________________________,Emirates ID No./ Passport No____________hereby giving my consent to the physicians of Al Soor Medical Clinic for my Medical History taking, Consultation, Physical Examination, Medical Investigation & Procedures regarding my health.

I agree that healthcare provider(s) involved in my care at this facility will access my health information through the Health Information Exchange System (NABIDH) in accordance with the Laws of the United Arab Emirates, Emirate of Dubai Legislation and Dubai Health Authority Policies.

I also understand that during my treatment it may be necessary to change or add medicine or procedure because of condition found that were not discovered during examinations or new condition may arise according to disease process.