The IDF denied Saturday that it ordered an evacuation of Al-Shifa's patients, claiming the hospital's director requested to allow people in the hospital to leave and that the IDF agreed and offered to assist.
The director of the Hamas-run Gaza Health Ministry -- who said he is leading the exodus of patients -- said in an interview with Al Jazeera that Israel issued the order and that Israel refused to allow ambulances to assist in the evacuation.
The IDF said Saturday it "acceded to the request of the director of the Shifa Hospital to enable additional Gazans who were in the hospital, and would like to evacuate, to do so via the secure route. At no point, did the IDF order the evacuation of patients or medical teams and in fact proposed that any request for medical evacuation will be facilitated by the IDF. Medical personnel will remain in the hospital to support patients who are unable to evacuate."
Lt. Col. Peter Lerner, an IDF spokesperson, denied the IDF had ordered medical staff and patients to evacuate, as well as the the Gaza Health Ministry’s claim that patients had been given an hour to leave, calling it "fake news."
However, another spokesman, Lt. Col Elad Goren, in his evening briefing Friday night said the IDF was urging anyone left in Al-Shifa to leave and that it hoped it would take place in the "next few hours."
Officials and doctors at Al-Shifa hospital say almost all patients and civilians there have been forced to leave the hospital this morning, after Israeli forces gave them one hour to get out.
Dr. Munir Al Barsh, director general from the Gaza Health Ministry, told Al Jazeera, he and hundreds of patients, many seriously injured, were now on the road on foot, making their way south.
He said around 450 patients and wounded had left following the Israeli order. He painted a harrowing picture, saying many patients have open wounds, are missing limbs, some are still in beds and wheelchairs.
According to Al Barsh, around 120 patients who are unable to move are still in the hospital, including the nearly three dozen premature babies. Five medical staff have remained to care for them.
He said the column of hundreds of patients are now trying to make their way to the first hospital they can find on route.
-ABC News' Patrick Reevell