Maraki Health – Marakicity

Contact a Local Doctor for Your Family Member

If you are currently abroad and need a local doctor to contact your family member, please fill out the form below. Provide the necessary details, confirm your $25 consultation fee payment, and ensure that your payment is completed before submitting the form. Once the payment is confirmed, the doctor will proceed with reaching out to your family member.

Doctor Contact Request Form

Maraki Health

User Information

For the Person Abroad

First Name

Last Name

Phone/Mobile

Family Contact Information

For the Local Contact Person

Family Member's First Name

Family Member's Last Name

Family Member's Address

Region

City

Sub-city

Country

Family Member's Phone Number

Additional Information (Optional)

Please ensure you complete the payment process first. Once the payment is successfully made, return to this form to submit your request. The doctor will not proceed with contacting your family member unless the payment is confirmed.

Checkbox

I confirm that I have completed the required payment using the specified method. I understand that the doctor will not proceed with contacting my family member unless the payment is successfully processed.