Health Screening Appointment
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Book an Appointment or Make an Enquiry

Select the relevant option below to schedule a Doctor's Appointment, a Health Screening Appointment, or to make an Enquiry.
Doctor's Appointment Health Screening Appointment Enquiry
1
Appointment Details
2
Appointment Summary
3
Appointment Request

Appointment Details

Select Hospital Location*
This is a required field
*Indicate 'N/A' if it is not applicable
This is a required field
Your Preferred Appointment Date (Option 1)
Date*
This is a required field
Your Preferred Appointment Date (Option 2)
Date*
This is a required field
*indicates required fields

Patient's Details

Name (as per Passport)*
This is a required field
Nationality*
This is a required field
Email Address*
This is a required field
Date of Birth*
This is a required field
Payment Methods*
This is a required field
Passport no.*
This is a required field
Gender*
This is a required field
Contact Number (Preferably Contactable Via WhatsApp)
This is a required field
Alternative Contact Number (Optional)
*indicates required fields
Please indicate tick (✔) in boxes above.
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