TKR Package Appointment Request Form
Kindly be advised that all appointment requests should be made at least 48 hours (2 working days) in advance, before the intended date of visit and is subject to availability. Please wait for a response from the team at Assunta to confirm your requests either via email or phone call. Any rescheduling/cancellations of appointments must be made via phone calls to the hospital.
Name*I/C or Passport Number*Please enter your I/C or Passort NumberContact Number*Email*
Doctor*--- Please Select ---Dr Vivekananda NavaratnamDr Chee Eng KeongDate*Please refer doctors consultation hours before you select date for appointment
Patient Status*Kindly indicate if you are an new or existing patientNew PatientExisting PatientRegistration Number/Hospital NumberPlease key in your hospital R/N if you’re an existing patient.Personal Data Submission*
I understand and agree to submit my personal data for the hospital’s use to facilitate my visit
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