Al Borg Diagnostics Insurance Approvals Insurance Approvals Please fill the application below Personal Information First Name Middle Name Last Name Age Gender Male Female Mobile number Email Upload Documents Qatari ID Card Insurance ID Card Physician Lab Request Claim Form Visiting Branch Please choose which branch you will visit Al Waab Duhail Notes Patient signature on the claim form and the treating doctor stamp. Request form stamped and signed from by doctor. Medical report stamped and signed by the doctor (If applicable) Send