Responsible Entity
Sahati Electronic System
Palestinian Ministry of Health – Gaza
Purpose of the Form
To collect and update data of injured individuals in Gaza in order to facilitate medical follow-up, issue official medical reports, and provide psychological and social support. The system also helps identify injured persons who are unable to access health services and officially recognize them as war-injured, ensuring inclusion in healthcare programs.
Main Objectives of Registration
• Monitor the medical condition of injured individuals.
• Support continuation of treatment in healthcare facilities.
• Issue official medical reports.
• Identify injured persons unable to access health services and register them as war-injured.
• Facilitate medical follow-ups at healthcare centers.
Required Information in the Registration Form
Personal Information
• ID number.
• Full name.
• Gender.
• Marital status.
• Date of birth.
• Original address.
• Mobile phone number.
• Alternative phone number.
• Current displacement address (if applicable).
Injury Details
• Date of injury.
• Main injured body part.
• Cause of injury.
• Severity level.
• Recovery status.
• Need for psychological support.
• Special needs (if any).
Amputation Information (if applicable)
• Presence of amputation.
• Date of amputation.
• Amputation location.
• Side of amputation.
• Level of amputation.
Attachments (Optional)
• Emergency admission ticket.
• Medical report.
• Medical referral.
• Laboratory tests.
• Radiology report.
Contact
WhatsApp Contact:
+970 592 048 103
Important Notes
Please ensure that all information provided is accurate and truthful, as it will be verified by the relevant authorities.
Attaching medical documents increases the likelihood of receiving appropriate support.
You may be contacted via the provided phone number to schedule medical appointments or assistance.
If no response is received within a reasonable time, you may contact the Ministry of Health to inquire about your application status.
