Booking centre

  1. Name(*)
    Invalid Input
  2. Gender
    Invalid Input
  3. Contact number(*)
    Invalid Input
  4. Email Address(*)
    Invalid Input
  5. Preferred Date(*)
    Invalid Input
  6. Preferred time slot
    Invalid Input
  7. Second priority date
    Invalid Input
  8. Second priority timeslot
    Invalid Input
  9. Service(*)
    Invalid Input
    *Physiotherapy service is only available at Matilda International Hospital *Health assessment is only available at Matilda International Hospital and Matilda Medical Centre
  10. Location
    Invalid Input
  11. Insurance coverage
    Invalid Input
  12. Additional information / Chief concern/ Purpose
    Invalid Input
  13. 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.