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PATIENT REGISTRATION/SIGN IN FORM
MEDICAL HISTORY Required
INSURANCE CLAIM Required

Foreign Nationals:

MDH Requires a Passport & Visa Copy of Patients & Attendant to Issue any Letters.

Terms & Conditions

  • For Insurance Claims Copy of Medical Letters, Discharge Summary Sheet, Billing & Invoices are Issued Once Treatment Is Completed & Full Payments Are Made.

  • Miswak Dental Hospital is NOT responsible for any failure of an insurance claim

  • MDH will NOT Issue any Letters if the Treatment is Incomplete / Payment Not Paid / False Personal Information / Treatment Plans & Payment Amount.

Thanks for submitting! We will be with you shortly!

Welcome To Miswak Dental Hospital and Implant Centre

Please fill out the patient registration/sign in form and a doctor will be with you shortly.

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