Form for sending documents for accepting international patients

Welcome to Sina Hospital and Heart Center of Isfahan
Contact phone: +98 (31) 33125000

Enter your name
Choose your date of birth
Enter your address
Please provide a complete history of your medical condition below
Enter your email
Enter your phone number - #### - ### ###
Upload your passport

فایل های ضمیمه فایل های ضمیمه
Upload your imaging documents (sonography, etc.) if available

فایل های ضمیمه فایل های ضمیمه
Upload your tests if any

فایل های ضمیمه فایل های ضمیمه