Booking centre - Matilda International Hospital

Name(*)

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Gender

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Contact number(*)

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Email Address(*)

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Preferred Date(*)

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Preferred time slot

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Second priority date

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Second priority timeslot

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Service(*)

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*Physiotherapy service is only available at Matilda International Hospital *Health assessment is only available at Matilda International Hospital and Matilda Medical Centre
Location

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Insurance coverage

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Additional information / Chief concern/ Purpose

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The information provided will exclusively be used for the purpose of answering your enquiry, providing a booking or other service requested. The information will therefore be shared with relevant departments and persons involved in the services. The information will not be used for marketing nor shared with third parties.