Appointment Your Full Name * : City : Department : —Please choose an option—RheumatologyPsychologyPsychiatryFamily Medicine Doctor : —Please choose an option—Dr. Bassel DarwishMs. Fariha KhanDr. Indira PriyadarshiniDr. Rola Ali Hassan Preferred Date : Email * : Mobile Phone : Primary Insurance Co : Your Relationship to Policy Holder : —Please choose an option—SelfSpouseParentOther
