Appointments & questions

We are here to help you make an appointment. Please fill out the form below and we will contact you within 24 hours. If you submit your information on Friday afternoon through Sunday or on a holiday, we will respond by the end of the next business day. If you do not hear from us within this timeframe, have a question or prefer to make an appointment by phone, please contact us at 1023 0045 and we would be happy to assist you.

Please use the online form to submit your request for an appointment. Our patient facilitation representative will contact you to confirm your appointment within one business day.

In case of an urgent appointment request or same day appointment request, please contact our appointment desk at +1 00 1234 5678 Ext 2030/2040/2050.

Please note: Requests are only processed Monday through Friday and are subject to the availability of the physician. Appointment for Psychiatry clinic will not be processed through our online request form. In case your appointment is cancelled or rescheduled you will be notified prior to your scheduled date of appointment.

Patient information


With this form, you are submitting a request for an appointment.

In the process of scheduling an appointment, you may be asked to send a recent medical summary in English including diagnosis, pathology reports and local physician's treatment plan.

Our representative will contact you regarding when and how to send this information.