Dr. Adam Albaba

🩺 Foot & Ankle Orthopaedics

English, French

Maryland, United States

Patient Details
Concerns
Appointment

Personal Information:

Step 1 - 3

Full Name *

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Email *

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Phone Number *

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Date of Birth *

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Gender *

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Consultation Information:

Step 2 - 3

Patient Name*

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Reason for Consultation with Symptoms*

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Choose the need of consultation *

For Advice / Second Opinion

For Prescription / Medical Certificate

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Choose Date

Choose Time

Consultation Type *

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Just a Reminder: If you're looking to get a prescription, remember to check once you've selected a doctor from that particular country.

Appointment:

Step 3 - 3

Appointment Type:
Date Time:

Consultation Fee:
Service Fee:
Transaction Fee:

Total

Total amount in local currency

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