Appointments

Request an Appointment

About Making an Appointment
Request an Appointment
Call Us
Cancel Appointment
Change Appointment

You can request for an appointment by filling up this form. Once we have received your request, a representative from the hospital will give you a phone call to finalise your appointment.

Patient information

Patient's name *
(as in NRIC/Passport)
Document type *
Patient's NRIC / Passport No / FIN *
Date of birth *
Gender *

Referral information

Private charges apply for the following referrals made through:

Choice of doctor by name
GP and Private Hospital
Self referrals
Private patients of Govt/Restructured Hospitals

Referred by *
Please specify clinic/hospital and contact no. (if any)
Medical service referred to
If unsure of medical discipline, please specify medical conditions / symptoms

Appointment preferences

Preferred date between * and
Preferred session *
Preferred days of the weekMon Tues Wed Thurs Fri
Preferred doctor (if any)

Contact information

Name *
Email *
Contact No. *
Fax
Please call between and
Address
Verification code *
(case-sensitive)