Make an Appointment

Please fill in our online form and we will contact you within 3 - 5 working days, with the nearest available appointment slot. For consultation charges, please click here

Tell us about Yourself

Name (as in NRIC)

Email Address

Please give us your Current Medical Conditions / Symptoms

Any Referral Letter

Please indicate source of referral letter?

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

Contact Number

Fax Number

Preferred Date/Time of the appointment
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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