A direct route to specialist assessment

Refer yourself to maternal–fetal medicine.

Tell the referral team what has prompted concern and how to reach you. They will review the request and contact you about the appropriate diagnostic or consultation pathway.

Therapy: Mediclinic Airport Road Hospital, Abu DhabiDiagnostics and referrals: Abu Dhabi, Al Ain, and Mediclinic pathways from Dubai

Contact details

Full nameMobile numberEmail addressPreferred languageEmirate or city

Pregnancy and referral information

Weeks pregnant, if knownEstimated due date, if knownMain reason for requesting assessmentBrief information to help the team triage your requestMaximum 2,000 characters. This form is not monitored for emergencies.

How your information is used