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: 

    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.