Appointment
Patient PRN Number or IC Number *
Email Address *
First Name *
Last Name *
Date of Birth *
Gender *
Marital Status *
Nationality *
Contact Number *
Email Address *
Specialty *
Doctor’s Name *
Appointment Date *
Preferred Time *
Available
Selected
Not Available
Appointment Details *
Medical Documents (if any)
I have read, understand and consent to IHH MY Data Protection Notice.
Agent’s Name *
Agent’s IC Number *
Agency Name *
Your appointment for Doctor Name at Time on Date will be processed. Confirmation is currently PENDING. You will be notified via email.
Being a new patient to Island Hospital, your appointment will only be confirmed once Customer Service contacts you with details via email, which will be within one business day.
(Please check your spam mail if you do not receive an email from us within one business day.)
Confirm & Book