Online Reservation

Make convenient online reservations for your preferred appointment time

Basic Information

Name *

Phone Number *

Date of Birth

Gender

MaleFemale

Reservation Information

Treatment Type *

Preferred Date (1st choice) *

Preferred Time (1st choice) *

Alternative Date (2nd choice)

Alternative Time (2nd choice)

Detailed Information

Current Symptoms

Previous Treatment Experience

Allergies

Current Medications

How did you hear about us

Reservation Information
• Text notification will be sent after reservation confirmation
• Changes/cancellations possible until 1 day before appointment
• No-shows may result in future reservation restrictions

Privacy Policy
Personal information collected will only be used for appointment booking and medical service provision, and will be stored according to relevant laws.

Main Services

Online Consultation