Home | Contact Us  |  BMCNET  |  Hotline 1565
Patients & Visitors
Patients & Visitors
Useful Information
Find a Doctor
Online Request
Lab Results
International Patients
Admission, Insurance & Billing
Patients Feedback Form
Patient Satisfaction & Testimonials
Patients Rights & Responsibilities
Community Affairs
Clinical Research
Organ Donation
Patient Center Approaches
Patient Education
Online Request
 

Thank you for your interest in consulting our specialists at Bellevue Medical Center.
If you wish to contact us by phone, please call +961-1-682666 ext. 5505. 

For an online consultation, an inquiry about a procedure, and/or an appointment scheduling, please complete the form below and we will contact you within two working days. 

This is a secure form, and the information you provide will enable us to assist you as efficiently as possible. 

* Indicates a required field



Appointment Information
Medical Condition*
Details
Preferred Doctor’s Name
   

Patient Information  
Are you a new or returning patient?
First name* Last name*
Middle Initial Date of birth*
Gender*    
How did you hear about us (select one of):*
Other, Please Specify:
       
Insurance Plan and Name  
Address* Phone Number*
Fax e-mail address*
City* Country*
       
     
Direction & Access
Contact Information