Request an Appointment

Note: This is not an appointment reservation.

Upon appointment request made, our customer relation personnel will communicate with you within 48 hours (working hours) for the appointment confirmation.

If you are having problem using this form, you may call to our appointment direct line at +604-238 8187.

* Indicates mandatory field.

Appointment Requested for (*)	:	Mr Mrs Miss
Current Loh Guan Lye Specialists Centre Patient? (*)	:	Yes No
Contact Email (*)	:
Contact Number (*)	:
Medical Service Required (*)	:	Please select a medical service Allergy Clinic Audiology Breast & Endocrine Surgery Cancer Unit Cardiology & Interventional Electrophysiology Cardiology Cardiovascular & Thoracic Chest Physician Dental Care Ear, Nose, Throat, Head & Neck Surgery Endocrinology Eye Surgery & Glaucomatology Family Skin Fertility Unit Gastroenterology, Hepatology & Therapeutic Endoscopy General & Colorectal Surgery General & Vascular Surgeon General Physician General Surgery General, Hepatopancreatobiliary & Advanced Endolaparoscopic Surgery Genetic Counselling Geriatric Medicine Hematopathology Infectious Diseases & Travel Medicine Interventional Radiology Music & Movement Educator Nephrology Neurology Neurosurgery Nutrition & Diet Counselling Obstetrician & Gynaecology Orthodontics Orthopaedic, Joint Reconstruction, Spine, Sports Injury & Trauma Surgery Paediatric Periodontic Plastic & Reconstructive Surgery Psychiatry Psychology Speech-Language Therapy Urology
Your Preferred Doctor	:	Doctor on duty.
Notes or Special Request	:	characters still available.
Preferred Date/Time (*)	:
Security Code (*)	:	Enter above security code (Case sensitive)

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