Registration form for a consultation session with a consultant doctor Beneficiary's full name in Arabic * Name of the first beneficiary in English * Last Beneficiary Name in English * Beneficiary ID / IQAMA * Age * From 5 Years to 12 yearsFrom 12 Years to 18 yearsOver 18 Years Email * Mobile * Has the beneficiary been registered at the Autism Center of Excellence before? * Yes No Have you been diagnosed with autism spectrum disorder or a developmental disorder? * Yes No How did you learn about the Center of Excellence for Autism and its services? * Scioal MediaBy a friendThrough a previous beneficiary of the center's servicesThrough one of the center's employeesBy googleOther Please enter the ID officer * Please agree to the terms and conditions. To view the terms and conditions, please click on conditions & Terms * Yes View Terms and Conditions Pay If you are human, leave this field blank.
