top of page
37f7fe39-c80b-489e-abe0-dd424f9aa169.png

Patient Referral Gift Form

This form is used by patients who wish to gift a service to another patient at the clinic. Please complete the form accurately to ensure proper processing.

Specific Service
Payment Method
Bank Transfer
Pay in person at the clinic

Terms & Conditions:

  1. The service is provided at Vitalia Clinics in Al Khobar, Kingdom of Saudi Arabia.

  2. This gift is valid for one purchase only.

  3. This gift cannot be exchanged for cash, transferred to another person, or extended beyond its expiration date.

  4. The value of this gift is non-refundable and non-redeemable.

  5. This gift is valid for 6 months from the date of payment.

  6. This gift cannot be used if the payment receipt is lost.

  7. The clinic bears no responsibility in case of loss or damage.

  8. All services are subject to appropriate medical evaluation based on the beneficiary’s condition.

© Vitalia All Rights Reserved

bottom of page