Making An Appointment Request

All requests for appointment dates should be made at least 7 working days in advance.

Label

Doctor(s)	Please Select Dr Tay Eng Hseon
Preferred date of appointment	(dd/mm/yyyy eg. 09/11/2006)
Preferred Time	(hh:mm 12:15am)
Patient Particulars
Name*
NRIC/Passport/Birth Cert.No *
Please Select : *	Please Select One New Patient Existing Patient
Home*
Handphone
Office
Email*
Address
Please give us patient's current medical conditions/symptoms:
Partner ID (For Official Use only)
Captcha *

* Please fill in the compulsory fields.