International Patient Liaison Centre
 
Make An Appointment

Kindly fill in the details below. Appointment date requested should be at least 2 working days from the day you submit this.

On the day of apointment, please remember to bring along patient's passport, medical report and/or test results if there is any.

   
* mandatory fields
I want to make an appointment at : *
National University Hopstial Tan Tock Seng Hospital No Preference
     
Patient's Particulars
Country * :
Name * :
Gender * : Male Female
Date of Birth * : - -
Passport Number :
Telephone Number * :
Mobile Number :
Fax :
Email :
     
Patient's Current Medical Conditions/Symptoms/Diagnosis
     
Preferred Appointment Date/Time
From : - -
To : - -
Time : Morning Afternoon No Preference
     
I do not have any preferred date/time
     
Any Preferred Doctor :
     
Remarks    
     
How did you get to know about NHG?
Through friends/relatives Magazines
Through doctor in home country Internet
Seminars Others :
Newspaper  
 
   

 
 
 
Disclaimer
Copyright 2007, NHG. All Rights Reserved. Business Reg No. 200002150H
Some images are courtesy of Singapore Tourism Board