Refer a Patient

Partnering with doctors for the best possible patient outcomes.

Refer your patient to our specialists at Kulsum International Hospital. Complete the online referral form and our team will contact you and your patient to arrange the appointment.

Start a referral +92-51-8446666

How referral works

Send the referral
Share the patient's details, diagnosis and reason for referral using the form below.
We review and contact the patient
Our team reviews the referral and contacts the patient to arrange an appointment with the right specialist.
You receive confirmation
We confirm with you once the appointment is scheduled.

Online referral form

For healthcare professionals. Fields marked with an asterisk are required.

Referring doctor

Full name *

Designation or specialty

Hospital or clinic *

PMDC registration number

Phone number *

City

Patient details

Patient full name *

Age *

Sex *

Male Female

Patient phone *

City

Payment method *

Patient attendant name

Patient attendant contact number

Referral details

Department *

Doctor *

Urgency *

Routine Urgent

Diagnosis or working diagnosis *

Reason for referral or clinical question *

Relevant history, current medications and investigations

Reports (optional)

Lab results, scans or discharge summaries: PDF, JPG, PNG or Word. Up to 5 files, 5 MB each and 10 MB in total.

Prefer to call?

Speak to our team to refer a patient by phone.

+92-51-8446666

Medical emergency?

Do not use this form for emergencies. Call +92-51-8446666 or send the patient to our Emergency Department.

Helpful to include

Working diagnosis
Reason for referral or clinical question
Recent reports and investigations
Current medications and allergies

You can attach recent reports to the form.

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Refer a Patient

How referral works

Send the referral

We review and contact the patient

You receive confirmation

Online referral form