Training Request Waseel Connect Hi! Would you mind taking 4 minutes to complete this form? It would be great if you can submit your response. Thank you! Training Request Waseel Connect Provider Name - مزود الخدمة الطبية*(Required) First Last CHI ID - رقم اعتماد مجلس الضمان الصحي*(Required) Contact Person Name - الشخص المسؤول*(Required) Contact Person Number-رقم الشخص المسوؤل*(Required)✓ Valid number ✕ Invalid numberContact person email -البريد الالكتروني للشخص المسؤول*(Required) Provider Type*(Required) Hospital Clinic Dental Optical Pharmacy Refill
