Personal Medical Examination Application Form

Service Type: Individual

Check-up customer information

* compulsory fields

Chinese name*
English name*
Date of Birth*
HKID No.*
(first 4 characters: A123)
Sex*
MaleFemale
Contact Phone No.*

Appointment information

* compulsory fields

Please choose health check scheme*
Preferred Date for Check-up*
Alternative Date for Check-up*
Preferred Time for Check-up*
Alternative Time for Check-up*
Remarks

*Please present your Identity document such as Hong Kong Identity Card or Passport on the assigned day of health check.

*A confirmation call will be received from our staff within TWO working days.
*Please feel free to call (852) 2878 2988 if you have any enquiries.

*Any personal data provided in this form will only be used for purposes directly related to your appointment only.
 
*Opening hours

Monday to Friday: 9:00 a.m. - 6:00 p.m.

Saturday: 9:00 a.m. - 1:00 p.m.

Sunday & Public Holiday: Closed