International Patient Liaison Centre (IPLC)

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.

*mandatory fields

I want to make an appointment at
NUH TTSH No preference

Patient’s Particulars
* Country
* Name
* Gender: Male Female
*Age
* Passport Number
* Telephone
    Fax:
   Email
   Enquirer's Name
   if different from above

Patient’s Current Medical Conditions/Symptoms/Diagonsis

Preferred Appointment Date/Time
* From:
* To:
* Time: Morning Afternoon No preference

* I do not have any preferred date/time

Any preferred Doctor:

Remarks:

On the day of appointment, please remember to bring along patient’s medical report &/or test results if there is any.






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