MyChart -

PLEASE NOTE: This form should only be used for NEW PATIENT REGISTRATION.
If you are a patient, who does not have a MyAUBHealth account, or if you are not a patient yet at AUBMC and want to create a new record, you are kindly requested to fill the below form, and our agents will respond via email within 1 business day with your access link.

For any other purposes such as, resetting your password, gaining proxy access for your dependents, or any reason other than registering a new patient, this form will not apply.
If you need further assistance, kindly call us at the AUBMC Hotline on 1242 or +961-1-350000.

Looking forward to providing you with your personal and family health information at your fingertips.

Please fill the below information

I am filling this form to

Existing Patient at AUBMC?

Medical Record Number (If Known)

First Name

Father's Name

Last Name

Gender

Date of Birth

Country Code

Mobile Number

Country

District

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New Patient Registration Form

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