APPOINTMENT

 

To make an appointment, simply fill in the following form and our staff will contact you. In the event of an emergency, kindly proceed to our Department of Emergency.

Specialist Clinics Opening Hours
Monday to Friday: 8.30 am to 4.30 pm
Saturday, Sunday and Public Holidays: Closed

Compulsory fields are marked with **

Patient's Name:** (as in NRIC/Passport)
Patient's NRIC / Fin No:**
Date of Birth:**
Sex:**	M F
Marital Status:**	Single Married
Address:**
Your Medical Condition: Note: Please use the Dental Consultation page if your condition is dental related.

Contact Information

Name: Please type in name of contact person if different from the name above.
Email Address:**
Phone (Home):
Phone (Office):
Handphone:
Fax:
Contact me:	Please call between: 8 AM 9 AM 10 AM 11 AM 12 AM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM and 8 AM 9 AM 10 AM 11 AM 12 AM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM Anytime
Please type the text in the image:	Not readable? Change text.