Make an Appointment

To make appointment with our specialists, please complete this online appointment form. Our Patient Assistance Centre (PAC) staff will contact you by the next business day to confirm your appointment.

If you require urgent medical assistance, please call our 24-Hour Helpline at +65-6575 7575.
* denotes mandatory fields.
 
I want to make an appointment at: *


 

Patient's Particulars

Nationality * :
Patient's Name * :   
Gender * :
Date Of Birth * :   
NRIC / Passport No. * :  
Country of Residence * :
Telephone No. :
Mobile No. * :  
Fax No. :
Email * :   
Patient's Current Medical Conditions / Symptoms / Diagnosis: *
 

Preferred Appointment Period

From :  To :
Preferred Time Slot :

Additional Information

Preferred Doctor :
Remarks:
How did you get to know about ParkwayHealth?



If Others, please specify :
I agree to the terms of use of Make an Enquiry/Appointment set out above. I consent to the collection, use and disclosure of my personal data given above to process the Enquiry / Appointment and such other related processes to facilitate and complete the Enquiry / Appointment, including monitoring and tracking any follow-up actions such as confirming my appointment.
I would like to receive information and updates about your services and facilities from time to time.
 
   

Contact Us

 

Hospital Main Line

+65 6473 7222

Appointment & Medical Enquiry

+65 6575 7575