للتعرَّف على كيفية الاستفادة من شراكات مايو كلينك التجارية الدولية، يُرجى:

• مشاركة المعلومات التالية
• الاتصال بنا على الرقم ‎507-422-5292
• إرسال رسالة إلى البريد الإلكتروني: InternationalCollaborate@mayo.edu

نرد على المكالمات الهاتفية طيلة أيام العمل من الساعة 7:30 صباحًا حتى الساعة 4 عصرًا (حسب التوقيت المركزي)، من الإثنين إلى الجمعة. ويعاود فريقنا الاتصال بكم في يوم العمل التالي للرد على المكالمات التي تردنا خارج ساعات العمل المذكورة.

Inquiry Response Form

Thank you for your interest in Mayo Clinic. Please complete this form in its entirety to allow us to gain a better understanding of your organization and your interest in Mayo Clinic. Once completed, your responses will be reviewed by our international team.

Contact Information

Organization name

Organization name must have at least 0 and no more than 256 characters.The value of the Organization name field is not valid.

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Organization type

Hospital Independent Hospital Group Independent Medical Group Multiple Hospital System Consultant/Broker Other

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Your name

Your name must have at least 0 and no more than 256 characters.The value of the Your name field is not valid.

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Your title or position within the organization

Your title or position within the organization must have at least 0 and no more than 256 characters.The value of the Your title or position within the organization field is not valid.

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Organization Address

Street Address 1

Street Address 1 must have at least 0 and no more than 256 characters.The value of the Street Address 1 field is not valid.

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Street Address 2

Street Address 2 must have at least 0 and no more than 256 characters.The value of the Street Address 2 field is not valid.

City

City must have at least 0 and no more than 256 characters.The value of the City field is not valid.

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State/Province

State/Province must have at least 0 and no more than 256 characters.The value of the State/Province field is not valid.

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Zip/Postal Code

Zip/Postal Code must have at least 0 and no more than 256 characters.The value of the Zip/Postal Code field is not valid.

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Country/Region

Country/Region must have at least 0 and no more than 256 characters.The value of the Country/Region field is not valid.

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Email address

Enter a valid email address.

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Phone

Enter a valid telephone number.

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Organization web address

Organization web address must have at least 0 and no more than 256 characters.The value of the Organization web address field is not valid.

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Organization ownership

Non-profit Privately held for profit Public/Government Publicly traded for profit Other

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Please provide a short description regarding your interest in contacting Mayo Clinic

Please provide a short description regarding your interest in contacting Mayo Clinic must have at least 0 and no more than 512 characters.The value of the Please provide a short description regarding your interest in contacting Mayo Clinic field is not valid.

*Please note: Mayo Clinic does not allow any use of the brand or logo by external entities without prior review and permission.

Mayo Clinic Number

Your Mayo Clinic number is a 7, 8 or 9-digit number we assign to you as a new patient prior to your first visit. You can find it near the top of a range of documents, including pre-visit questionnaires, clinical notes, care summaries, and correspondence.

If you do have Mayo paperwork handy, it's often quickest simply to look for it there. Scroll down to see some examples of how the number shows up:

In correspondence:

In pre-appointment questionnaires

In medical documents:

In dismissal summaries:

In several other kinds of documents: