It is recognized that Medical Physics as a profession has become a global enterprise, and that on some issues the worldwide medical physics community should collaborate. Increasing scientific interactions and strategic relationships between the European Federation of Organizations for Medical Physics (EFOMP) and the Middle East Federation of Organizations of Medical Physics (MEFOMP) is in the interest of both groups, as well as the worldwide medical physics community. This memorandum of understanding (MoU) seeks to establish these relationships, and to identify issues where collaboration between the EFOMP and MEFOMP would be most synergistic.