Oncology Service Appointment Message Service

Patient Information
Appointment Enquiry
Other Information
Patient Information

You can leave a message here to make an appointment for service. Our center will contact you by phone during office hours (Monday to Friday, 9 am to 5 pm; Saturday, 9 am to 1 pm).

Patient Information
Appointment Enquiry
Other Information
Appointment Enquiry

You can leave a message here to make an appointment for service. Our center will contact you by phone during office hours (Monday to Friday, 9 am to 5 pm; Saturday, 9 am to 1 pm).

Patient Information
Appointment Enquiry
Other Information
Other Information

You can leave a message here to make an appointment for service. Our center will contact you by phone during office hours (Monday to Friday, 9 am to 5 pm; Saturday, 9 am to 1 pm).

Photos are for reference only.
* Required fields
Gender*
To receive a copy of the appointment enquiry, please enter an email address.
Please enter the last name
Please enter the first name
Please choose sex
Please enter age
Please enter a valid phone number
Please enter the correct email
Please enter or correct required fields
Have you used our hospital’s services before*
Yes
No
Please choose have you ever used the service of this hospital in the past
Please enter or correct required fields
Are you making an appointment for yourself or someone else?
Messenger Name
Messenger Contact Information
To receive a copy of the appointment enquiry, please enter an email address.
Please enter the agent last name
Please enter the agent first name
Please enter a valid agent phone number
Please enter the correct agent email
Please enter or correct required fields

Preview appointment information

Patient Information
Last Name
First Name
Gender
Phone +852
Email
Appointment Enquiry
Appointment Type
Have you used our hospital’s services before
Doctor Referral Letter (within 30 days)[image/pdf]
Message
Other Information
Messaging personnel
Messenger Last Name
Messenger First Name
Messenger Phone +852
Messenger Email
Submit
Sending