To arrange for your health screening, simply fill up this form and our administrator will proceed to confirm your appointment. Kindly book your appointment in advance. This will require at least 3 working days. Appointment date is subject to availability. To change or cancel your appointment, please kindly call our Customer Care Representatives at +65 6763 5277.

Personal Data Protection Act
I/We hereby consent to disclose my/our personal data which will be used by Health Screening Advisor for the conduct of the Health Screening and/or Health Services.

 

Make an Appointment

If you like to go for your health screening simple fill up the form below.

"*" indicates required fields

Step 1 of 2

Personal Information

(Full name as in NRIC)
Gender*
Date of Birth*
Address*
Race*

Nationality*

*Note: Please provide 2nd person particulars in the remarks column.