Amr Seif-Eldin, M.D
EGYPT UROGYNECOLOGY CLINIC:
Hospitals:
Mohandessine : Heliopolis:
Hosny Hospital. Seif-Eldin Hospital
25, Gamet El Dowal El Arabia St. 4, Sh. Nur Eldin st.
Mohnadessine, Giza, Cairo - Egypt Heliopolis, Cairo - Egypt
Tel: (+202) 33377205 Tel: (+202) 24174355
Clinic working hours:
Sunday & Tuesday: 7:00 PM - 9:00 PM
Monday & Wednesday: 10:00 AM - 12:00 PM
El Safaa Hospital
Iraq st.
Mohandessine
Dar El Tib
Amman st.
Mohandessine
Please call to schedule a visit: (+2) 012-3675300 or (+2) 010-5250230
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For more information contact us at:
Egypt Urogynecology Clinic:
Tel: (+2) 0123675300
email: info@urogyn-eg.com
Dr. Amr Seif-Eldin
Tel: (+2) 010-5250230 (private)
email: amr@urogyn-eg.com
a.seifeldin@gmail.com
For a price quote please call or email us at:
Medical secretary:
Tel: (+2) 0123675300
email: info@urogyn-eg.com
Or UK. Liaison: Ms. Joanna Clark, RN
Tel: (+44) 07796621161
email: jclark93@btinternet.com
Other services:
- Airport Pickup
- Hotel Booking
- Tour Booking
Please contact our medical secretary to arrange for these services:
Tel: +2-0123675300
email: info@urogyn-eg.com
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Please fill this form and email it to us
Egypt Urogynecology Clinic
Patient Information Sheet: Ref. #: _____________ Date: _______________
Welcome to our clinic, we are committed to providing you with the best medical care possible;
we encourage you to ask all your questions. Please assist us by providing the following information,
all information is confidential.
Personal Data:
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Patient Full Name: Date of Birth: / /
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Nationality: Occupation Marital status: S / M / D / W |
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Name of Spouse: Occupation: Age:
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ID card Number or Passport Number: Issued at: Exp. Date : / / |
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Home Address: City: Country:
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Telephone: Home: Work: Mobile:
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Number of Deliveries: Normal: C/S: Abortion: Living :
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Cycle: Reg. / Irreg. LMP: / / Pain: Bleeding: Menopause: Years:
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Medical Disorders: Diabetes: Hypertension: other: Wt. Kg.
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Contraception: HRT: Alcohol: /d Smoke: /d
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This information sheet belongs to Egypt Urogynecology and will not be released.
Have you ever suffered from: Yes / No Complaint: In patient own words
Recurrent urinary tract infection:
Recurrent vaginal infection:
Chronic constipation:
Chronic cough:
Lung & Heart disease
Kidney disease
Liver disease
Sexually transmitted disease:
Other:
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