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Open a medical file & contract

Welcome to Haya Home Care. To open the medical file and start the contracting process (per Ministry of Health requirements), please fill in the details below — it takes less than a minute, and once submitted we prepare the contract and send it to you.

1 — Patient health details

Gender *

Health status *

2 — Daily care details

Feeding method *

Bathroom use *

Any injections or IV fluids? *

Any infectious diseases (patient or household)? *

Does the case need more than 12 hours of care daily? *

3 — Requester details (for the legal contract)

Rather talk first?

Message us on WhatsApp and a care coordinator will walk you through it.

Care by your side

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