Request an Appointment

Note: This is not an appointment reservation.

Upon appointment request made, our customer relation personnel will communicate with you within 48 hours (working hours) for the appointment confirmation.

If you are having problem using this form, you may call to our appointment direct line at +604-238 8187.

* Indicates mandatory field.

Appointment Requested for (*)	:	Mr Mrs Miss
Current Loh Guan Lye Specialists Centre Patient? (*)	:	Yes No
Contact Email (*)	:
Contact Number (*)	:
Medical Service Required (*)	:	Please select a medical service Anaesthesiology Audiology Cancer Unit - Radiotherapy & Chemotherapy Cardiology Cardiothoracic Child Development & Assessment Dental & Oral Surgery Ear, Nose, Throat, Head & Neck Surgery Endocrinology Endoscopic Surgery Endoscopy & ERCP Epidural Anaesthesia Eye Surgery & Glaucomatology Fertility Unit Gastroenterology, Hepatology & Therapeutic Endoscopy General Surgery & Colorectal Surgery Chest Surgery & Breast Surgery Heart Unit Internal Medicine & Medical Check-up Laparoscopic Surgery Laser Surgery Neonatology Nephrology Neurology Neurosurgery Obstetrics & Gynaecology and Fertility (IVF) Orthopaedic & Spine Surgery, Sports Medicine & Trauma Bone Transportation Plastic & Reconstructive Surgery Psychology (Educational & Counselling) Psychiatry Respiratory Medicine Rheumatology Speech Language Pathology Therapy Unit Urology
Your Preferred Doctor	:	Doctor on duty.
Notes or Special Request	:	characters still available.
Preferred Date/Time (*)	:

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