Refer a Patient

Please do not send medical reports, scans or test results through this form. Once we understand your general needs, we will guide you on how to share those securely with the hospital directly.

Full name

Phone number

Include your country code — used to reach you on WhatsApp or by phone.

Email (optional)

City

Country

Enquiry category

Preferred hospital (optional)

Preferred contact method WhatsApp Phone call Email

How did you hear about us?

I agree to MG GlobalMed Connect contacting me about my enquiry.

I would also like to receive occasional updates and health information by email.

Before you travel — what to expect

Cost estimates are indicative. If additional procedures or tests prove necessary, the final cost may be higher. The hospital will inform you before proceeding, and any additional amount is payable before you are discharged.
Price quotations are valid for a limited period and may change.
Payment is made directly to the hospital, before treatment begins. MG GlobalMed does not receive or handle treatment payments.
Additional examinations may be required both before and after your procedure.
Length of stay varies by procedure and by your individual medical assessment.
All medical decisions are made by the treating hospital's doctors. MG GlobalMed does not provide medical advice and cannot influence clinical decisions.
MG GlobalMed is a non-exclusive intermediary. We are not a partner, affiliate, or agent of any hospital.

I have read and understood what to expect above.