Make an Appointment

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    Appointment Details


    Preferred Appointment Date
    Preferred Appointment Time

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    Your Details

    Full Name
    Email Address:
    Mobile No.
    IC / Passport No
    Gender
    Date of Birth
    Age

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    Your Message


    Important Note:

    Appointment dates on the same day are considered walk-in. Preferred appointment time will not be recorded.

    By submitting this online form does not confirm your appointment. Our Patient Relation Officer will contact you to confirm your appointment. To book an appointment through phone, please call 03-3375 7799. Thank you.