Description

Basic Health Screening appointment booking form

Basic health screening appointment booking - this package booking should submit in 2 days in advance. Your prefer date for the screening will re - confirm with you by email. For the Profile please Click Here. Price at $135.00 book now, reserving available date | slot. Please create an account for yourself before key in the submission form for appointment. Click here for compare chart.

Venue available:

@ Paragon Medical Centre - Payment Mode - payment by Send Cheque to office or Cash or cheque when Collection of report at office: 6001 Beach Road 08-04 Golden Mile Tower - S199589.

@ Lucky Plaza - Orchard Medical Specialists Centre - Payment Mode - payment by Credit Card, Net or Cash - Compulsory pay on the screening day at Lucky Plaza.

Paypal or credit card payment is one of the optional payment mode, available by paypal when submit booking for any screening venues.

code: vhs1 / hcw1

For more information, please visit this health screening package profile.

Available Options:
This particular is first time: booking with HealthScreening.sg / HealthCheck.sg	No Yes
This Appointment is Booking For :	Staff Relative My Parent Spouse My Friend Sibling Myself
Name*: (Same as in NRIC / Passport)
NRIC/Passport No.*:
Marital Status:
Address*:
Postal code:
Date of Birth* :: Example format: MM/DD/YYYY
Gender*:	Female Male
Nationality*: or Citizenship
Race*:
Country From*:
Language Spoken:	English Others Chinese / Mandarin
Others Language Spoken:
Home Contact Number *:
Mobile Contact Number *:
Email*: : kindly check again before submit
HIV ( blood test ): Optional Add on	Yes ( + $80.00 )
Ultrasound Pelvis: Optional Add on	Yes ( + $193.00 )
Ultrasound Liver: Optional Add on	Yes ( + $145.00 )
Ultrasound Breast: Optional Add on	Yes ( + $159.00 )
Ultrasound Abdominal: Optional Add on	Yes ( + $248.00 )
Bone Mineral Density: Optional Add on	Yes ( + $160.00 )
Chest X Ray: Optional Add on	Yes ( + $75.00 )
Resting ECG: Optional Add on	Yes ( + $75.00 )
Treadmill ECG: Optional Add on	Yes ( + $255.00 )
Semen Analysis + : Specialist Doctor Consultation	Yes ( + $200.00 )
Pap Smear: Optional Add on	Yes ( + $95.00 )
Mammogram + Ultrasound Breast: Women Add on Special #1	Yes ( + $255.00 )
Ultr Breast&Pelvis+Mammo: Women Add on Special #2 (Altrasound Breast+Pelvis+Mammo)	Yes ( + $333.00 )
Testosterone:	Yes ( + $33.00 )
Ultra Pelvis + Ultr Breast: Women Add on Ultrasound Special #3	Yes ( + $270.00 )
Ultra Abd+Ultra Breast+Pelvis: Ultra:Ultrasound \| Abd: Abdomen	Yes ( + $388.00 )
Add on Mammogram:	Yes ( + $209.00 )
Appointment Date*: : In this format: MM/DD/YYYY
Time::
Remark: Optional : Your Message
How you get to know us?:
Keyword search: you key in find us
Venue: locations available
Payment: if Chose online credit card or paypal will have 4% additional
Take Note 1: if add on HIV test, screening venue only at Lucky Plaza	Understand please check the box Yes

Basic Health Screening

Description

Basic Health Screening appointment booking form

Extra Info