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Change / Cancel Appointment

Change or Cancel Appointment

If you can't keep your appointment for any reason, you can do one of the following:
- Phone our Appointment Centre at 6476 8828 before your original appointment date and update our staff; or
- Fill in and submit the following online form.

Compulsory fields are marked with **
Appointment to change: **  
     
Patient's Name:**
(as in NRIC/Passport) 		 
Patient's NRIC / Fin No:**  
     
Date of Birth:**   / /
     
Sex:**  
     
Marital Status: **  
     
Address: **  
     
Medical Condition:  
     
Reason For Appointment change: **  
     
Preferred Date   / /
     
Preferred Time  
     
Contact Information    
Name:
Please type in name of contact person if different from the name above. 		 
     
Email Address: **  
     
Phone (Home):  
     
Phone (Office):  
     
Handphone:  
     
Pager:  
     
Fax:  
     
Contact me:  
Please call between:
Anytime