Inno Agent Form


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 /

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.

Agent Health Screening Apointment

Simply fill up your client's health screening details below.
1 Personal Information
2 Health Screening Information
  • *Important : Fill up Agent's Name, Contact and Email Address.