Make an Appointment

Kindly fill in the appointment form below For consultation charges, please click here

Tell us about Yourself

Name

Email Address

Please give us your Current Medical Conditions / Symptoms

Any Referral Letter

Please indicate source of referral letter?

NRIC/Birth Certificate Number
(For Singaporean/Permanent Resident)

Passport Number (For Non-Singaporean/Permanent Resident)

Country/Region (For Non-Singaporean/Permanent Resident)

Telephone Number (Mobile)

Telephone Number (Home)

Telephone Number (Office)

Fax Number

Date/Time of appointment requested
Appointment date requested should preferably be at least 5 working days from the date you make the appointment.
Please note that all NCIS and NUHCS clinics are closed on weekends and public holidays, and only some NUH clinics operate on these days.

Appointment Request Date

Appointment Request Time

Name of Preferred Doctor(if any)

Remarks(if any)

Verification Code

* Compulsory Fields

NOTE:Please refer to here for what to bring on the day of your appointment

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