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NILE MEDICAL CONSULTANTS LLC

The world's bridge to Western healthcare

CARE REQUEST FORM
CONSULTATION TYPE
URGENCY OF CONSULTATION

PATIENT INFORMATION

CASE INFORMATION

RELEVANT LABORATORY DATA 

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RELEVANT IMAGING DATA 

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Upload File
Upload supported file (Max 15MB)
Upload File
Upload supported file (Max 15MB)
Upload File
Upload supported file (Max 15MB)

TREATING PHYSICIAN

SERVICE AND PAYMENT

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Thank you for submitting your care request. Your NMC account manager will reach out to confirm your case details.

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