عيادة ساما الالكترونية E-clinic Expert Enrollment Click here to learn about the SAMA E clinic Please enable JavaScript in your browser to complete this form.First Name *This is how it will appear on the announcementsLast Name *This is how it will appear on the announcementsSpeciality *NephrologyCardiology Cardiac SurgeryLimited specialities in trial phase of this programPosition/Academic Rank *chooose one rank (e.g. Professor or Consultant - not both)Name of Institution/Hospital/University *Choose one affiliation to be included in the announcementsCity/State *Country *Email Address *WhatsApp e.g. +249912345678Confirmation of SAMA responsibility to maintain Expert anonymity *I understand that SAMA will maintain my anonymity and will NOT share my personal information with the patient/surrogateAttestation of Expert Responsibilities *I understand that I am expected to render an expert opinion within 72 hours of receiving the information & that I attest to maintaining patient/surrogate anonymity and not share any of their personal information. NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit form