Medical Consultations

Thank You For Choosing Firoozgar general hospital For Your Treatment. Please Complete The Evaluation Form Below With Your Comments During The Hospital Stay So That This Management Can Succeed By Improving Methods And Improving Processes In Improving The Quality Of Service Delivery To Patients. We would like kindly to ask you to need questions via following link Online Satisfaction Form to help us.

Your Name

Date of Birth

What is Patient's gender?

Country and City

Patient

Parent

Spouse

Child

Other

Relationship to the Patient

Phone Number

E-Mail

Reservation Date

More Information

Attached Medical Documents (jpg,png,pdf)

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ّFiroozgar Hospital

ّFiroozgar Hospital

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