Contact Appointment

Full Name *

Date Of Birth *

Telephone *

Your Email *

APPOINTMENT TIME
Monday MorningMonday AfternoonTuesday MorningTuesday AfternoonWednesday MorningWednesday AfternoonThursday MorningThursdayAfternoon Friday MorningFriday AfternoonSaturday MorningSaturday AfternoonSunday MorningSunday Afternoon

APPOINTMENT DATE

LANGUAGE
EnglishFrenchVietnamese

PROGRAM OR SPECIALTY
Rheumatology DepartmentEye SpecialtyOtolaryngology (ENT) DepartmentImaging DiagnosisAesthetic DepartmentLaboratoryOncology Department – Singapore Cancer CentreDermatology DepartmentPediatrics DepartmentGastroenterology SpecialtyIn-patient DepartmentOdonto – Stomatology ConsultancyPharmacyUrologyDietetics and Nutrition ServicesLiver – Gallbladder SpecialtyNeurology DepartmentCardiovascular SpecialtySurgery DepartmentObstetrics and Gynaecology DepartmentEmergency Room

DOCTOR NAME

WHAT IS YOUR PRIMARY MEDICAL PROBLEM?

• 1. Fast, avoid carbonated, alcoholic and sugary drinks.
• 2. For female, only go for a health check 7 days after your menstrual period
• 3. For female, please inform your doctor in cases of pregnancy or suspected pregnancy.
• 4. Please bring related papers when you go for consultations.
  - Medical treatment records & prescriptions (if any)