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ACTEMRA

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What Are The Required<br />

Documents That I Should<br />

Prepare:<br />

You can submit them directly to QRCS office or<br />

through the courier service.<br />

1. Medical Certificate<br />

2. Passport Copies (you + your family)<br />

3. Copy of ID<br />

4. Copy of Health Card<br />

5. Salary Certificate<br />

6. House Rent Contract (if applicable)<br />

7. Signed consent form<br />

You might be ineligible if:<br />

1. You are not resident in Qatar<br />

2. Your financial hardship status is not confirmed by QRCS.<br />

3. You don’t provide ALL required documents for enrollment.<br />

4. You don’t sign the program consent form.<br />

5. You’ll receive your treatment in hospitals other than HGH, Al-Wakra<br />

or Al-Khor (ex. in a private hospital)<br />

You’ll be dropped from the program if:<br />

1. You don’t use the settled fund for <strong>ACTEMRA</strong> for 3 consecutiv months.<br />

2. You stopped treatment with <strong>ACTEMRA</strong> or shifted to another drug.

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