Make An Appointment

Book Appointment

To make an appointment, simply fill in the following form and our staff will contact you in 3 working days. In the event of an emergency, kindly proceed to the nearest hospital.

Book Appointment Form

Patient Information

* Mandatory Field

Patient's Name (as in NRIC/Passport)*:

Date of Birth (DD MM YYYY)*:

Specialties/Services:

Your Medical Condition*:

Contact Information

Contact Person:
(Please type in name of contact person if different from the name above)

Contact Number*:
(Please provide a number that is easily contactable)

Email Address:

Contact Me:

Anytime

I acknowledge that I have read and agreed to your Data Protection Policy and hereby consent to Admiralty Medical Centre's use of my personal data for any follow up action for the purpose I have selected above.

I would like to receive information about your services and events.

Change Appointment

Cancel Appointment

Book Appointment

Patient Information

* Mandatory Field

Patient's Name (as in NRIC/Passport)*:

Date of Birth (DD MMM YYYY)*:

Specialties/Services:

Your Medical Condition*:

Contact Information

Contact Person:
(Please type in name of contact person if different from the name above)

Contact Number*:
(Please provide a number that is easily contactable)

Email Address:

Contact Me:

Anytime

I would like to receive information about your services and events.

Please Note

Book Appointment

To make an appointment, simply fill in the following form and our staff will contact you in 3 working days. In the event of an emergency, kindly proceed to the nearest hospital.