To arrange for your health screening, simply fill up this form and our administrator will proceed to confirm your appointment. Kindly book your appointment in advance. This will require at least 3 working days. Appointment date is subject to availability. To change or cancel your appointment, please kindly sms or eMail to our Customer Care Representatives at +65 8569 4013 / email@example.com
Personal Data Protection Act
I/We hereby consent to disclose my/our personal data which will be used by Health Screening Advisor for the conduct of the Health Screening and/or Health Services.