Referral Procedures

Al Jalila Children’s is a specialty hospital; therefore all our patients have to be referred by a general paediatrician or a family practitioner. Our patients are aged from 0 to 16 years and require parent support throughout the patient journey. All doctors should provide the Appointment Centre with sufficient information about the patient so that the referral can be made quickly and correctly.


All referrals from doctors can be dealt with directly by the Appointment Centre. There are different types of referrals. The following can be catered for at this stage:
  • Simple request for a specific specialty
  • General paediatricians for under 12 year and over 12 year old patients
  • Neurosciences Centre of Excellence
  • Child and Adolescent Mental Health Centre of Excellence

Referral Procedures

There are two ways to generate outpatient department referrals:
  1. Via a phone call. Dial 800AJCH (8002524) between 7am and 10pm.
  2. Fill the respective referral form here and email it to us.

Refer a Patient

To refer your patient for an appointment with one of our doctors, please complete an online request using the form below. Once we receive your request, we will contact your patient directly within 24 hours to schedule their appointment.

Your Name
Find Doctor
Reason for visit

Referal Forms

For referrals to Al Jalila Children's, kindly fill in the respective form and email it to us. Our Case Management team will get in touch with you soon. Kindly note to attach copies of patient's Emirates ID and insurance to enable us to verify and proceed with a referral.

Form Name
Download File
Sent to

Diagnostic Imaging Department Outpatient Order Form

NICU Referral Form

Mental Health and Psychology


Electro Neuro Diagnostic Study

Speciality Services

Al Jalila Children's Specialty Hospital

Al Jaddaf - Dubai United Arab Emirates

800 AJCH (8002524)

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