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Limb Amputation Registration Form – Ministry of Health in Cooperation with the Red Cross Icon

Limb Amputation Registration Form – Ministry of Health in Cooperation with the Red Cross

Health & Child Care Services

An online registration form launched by the Palestinian Ministry of Health, in cooperation with the International Committee of the Red Cross (ICRC), through the Sahati Electronic System. The form targets limb amputation cases in Gaza, allowing patients to submit personal and medical information to facilitate medical follow-up, rehabilitation services, and access to specialized healthcare.

Responsible Entities

Sahati Electronic System
Palestinian Ministry of Health – Gaza
In cooperation with the International Committee of the Red Cross


Purpose of the Form

To facilitate the online registration of limb amputation cases within the Sahati system, enabling accurate case identification, organized medical follow-up, and provision of appropriate medical and rehabilitation services. The form also supports coordination between the Ministry of Health and the Red Cross to ensure effective healthcare delivery.


Required Information in the Registration Form

Personal Information
• Full name.
• Date of birth.
• Gender.
• National ID number or passport number.
• Marital status.

Contact Information
• Mobile phone number.
• Residential address (city/area and street).
• Email address (if available).

Health Information
• Chronic diseases or previous surgeries.
• Allergies or medication-related sensitivities.
• Health insurance details (if available).

Additional Information
• Emergency contact details (name and phone number).
• Any additional notes that may help provide better healthcare services.

Terms and Conditions
• Acceptance of the terms and conditions related to platform usage and data storage.


Contact

WhatsApp Contact:
+970 592 048 103


Important Notes

The Sahati platform is used to manage patient records and healthcare services under the supervision of the Palestinian Ministry of Health or authorized governmental bodies.
Ensuring that all information is accurate is essential, as incorrect data may affect the quality of healthcare services provided.
Users may update their information later if changes occur, to keep their medical records current.
Once all required fields are completed, submitting the form will store the data in the platform’s electronic database.

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