Health Check Appointment

You must fill in all the information that is marked with *. Filling in other information will help to speed up the registration. Thank you.

 
PATIENT'S PARTICULARS
Name*  
NRIC/BC/Passport Number*  
Contact Number*  
Email  
Gender    Male     Female
Nationality  
APPOINTMENT INFORMATION
Notes:
1. First appointment is at 8.30am Mon-Sat (Closed Sun &     PH).
2. Last appointment is at 4.30pm Mon-Fri, 12N Sat (Closed     Sun & PH).
3. Kindly note that the preferred appointment date/time is     subject to confirmation.
4. Our staff will contact you within 1-2 working days to     discuss the health check package and appointment     date/time.
Preferred Appointment Date (DD/MM/YYYY)   / /
Special Requests (if any)  
Links

Specialists Appt Booking
Health Check
Health Screening