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عربي
Luxury Elegance
For Healthcare Providers Registration
Facility Information
Date of Joining
*
Facility Type
*
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Hospital
Laboratory
Primary Healthcare Center
Ambulatory Healthcare Center
Facility Category
*
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Governmental
Private
Others
Facility Name in Arabic
*
Facility Name in English
*
Specialty
*
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General
Specialized
Facility Director
Name
*
Telephone/Mobile
*
E-Mail Address
Key Person” Doctors”
Name
Specialty
E-Mail Address
Add Doctor
Doctor 1
Add Doctor
Doctor 2
Add Doctor
Doctor 3
Add Doctor
Doctor 4
Add Doctor
Doctor 5
Accreditation History/Registration
Have you been accredited by CBAHI before?
Yes
No
Have you been accredited before by any accreditation agency other than CBAHI?
Yes
No
Name of the accreditation agency
Facility Address
Street
*
District
PO Box
*
Zip Code
*
Region
*
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Riyadh Region
Makkah Region
Madinah Region
Eastern Region
Asir Region
Tabuk Region
Al-Jawf Region
Northern Boarded Region
Jazan Region
Najran Region
Qassim Region
Ha'il Region
Al Bahah Region
Health Affairs Directorate
*
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Asir Health Affairs
Baha Health Affairs
Bisha Health Affairs
Eastern Region Health Affairs
HaferAlBatin Health Affairs
Hail Health Affairs
Hassa Health Affairs
Jazan Health Affairs
Jeddah Health Affairs
Jouf Health Affairs
Madinah Health Affairs
Makkah Health Affairs
Najran Health Affairs
Northern Borders Health Affairs
Qassim Health Affairs
Qunfotha Health Affairs
Qurayyat Health Affairs
Riyadh Health Affairs
Tabuk Health Affairs
Taif Health Affairs
City
*
- Select -
Al Artaweeiyah
Arar
Badr
Baljurashi
Bisha
Bareg
Buraydah
Al Bahah
Buq a
Dammam
Dhahran
Dhurma
Dahaban
Diriyah
Duba
Dumat Al-Jandal
Dawadmi
Farasan city
Gatgat
Gerrha
Gurayat
Al-Gwei'iyyah
Hautat Sudair
Habala
Hajrah
Haql
Al-Hareeq
Harmah
Ha'il
Hotat Bani Tamim
Hofuf
Huraymila
Hafr Al-Batin
Jabal Umm al Ru'us
Jalajil
Al Jawf
Jeddah
Jizan
Jizan Economic City
Jubail
Al Jafer
Khafji
Khaybar
King Abdullah Economic City
Khamis Mushayt
Al Kharj
Knowledge Economic City, Medina
Khobar
Al-Khutt
Layla
Lihyan
Al Lith
Al Majma'ah
Mastoorah
Al Mikhwah
Al-Mubarraz
Al Mawain
Mecca
Medina
Muzahmiyya
Najran
Al-Namas
Omloj
Al-Omran
Al-Oyoon
Qadeimah
Qatif
Qaisumah
Al Qunfudhah
Rabigh
Rafha
Ar Rass
Ras Tanura
Riyadh
Riyadh Al-Khabra
Rumailah
Sabt Al Alaya
Saihat
Safwa city
Sakakah
Sharurah
Shaqraa
Shaybah
As Sulayyil
Taif
Tabuk
Tanomah
Tarout
Tayma
Thadiq
Thuwal
Thuqbah
Turaif
Tabarjal
Udhailiyah
Al-`Ula
Um Al-Sahek
Unaizah
Uqair
'Uyayna
Uyun AlJiwa
Wadi Al-Dawasir
Al Wajh
Yanbu
Az Zaimah
Zulfi
Telephone/Landline
*
Extension Number
Fax
Official email address
*
(This will be used for all future correspondence)
Official Website(URL)
Google MAP
*
Scope of Service
Diagnostics/Supportive services
Please tick the available services only
Internal Medicine
Others
Surgery
Others
Anesthesia
Others
Critical Care Services
Others
Obstetrics / Gynaecology
Others
Clinical dietary
Others
Pediatrics
Dental
Emergency
Ear Nose and Throat
Ophthalmology
Psychiatry
Occupational health
Burn Care
Day Care
Radiology Services
Others
Laboratory Services
Others
Pharmacy
Infection Control
Laundry
Kitchen
Others
Account
Username
*
Password
*
Confirm Password
*
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