Make an Appointment

To make an appointment with our specialists, please complete this online appointment form.

Our Mount Elizabeth Patient Assistance Centre staff will contact you by the next business day to confirm your appointment.

If you require urgent medical assistance, please call our 24-hour helpline directly at +65 6735 5000.

Specialty Area *

Specialist

Preferred appointment date: *

Preferred appointment time slot: *

Anytime

A.M

P.M

Patient's Suffix *

Patient's Name (As Shown in Passport or NRIC): *

Date of Birth: *

Nationality *

Email address: *

Contact person's name: *

Telephone number: *

Mobile phone number (optional):

Fax number (optional):

Existing Patient?

Yes

Message: *

How did you get to know us? *

If "Others", please specify: *