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Volunteer/Patient Registration


Name
Email
Phone No
Emirates ID No
Passport No
Name of the course
Course Date (Day/Month/Year)
Your Interest in the SP Program
Please choose for which program you are interested to become a simulated patient
Medical history (Please list any current/past medical conditions)
Please tell us why you are applying to become a simulated patient
Simulated Patients are needed for physical examinations. Are you comfortable while a healthcare professional examines you?
Availability
During which days and hours are you available?
Session
Upload Passport/Emirates ID(document attachment – jpeg, pdf, word etc.)
Note: Please bear in mind that Simulated Patients are hired as needed, based on educational courses that are being conducted at our center. We will contact you as soon as a course appropriate for you arises.