Landing Page - EN Group Staff Appointment Request Form

EN Group Staff Appointment Request Form

Appointment Request Form

Registration is now closed.

Kindly submit the your appointment details through the provided form, and the clinic will confirm the appointment within 2–4 working days of your submission. Please note that the appointment is not confirmed until the staff receives a response from our clinic. We appreciate your understanding.

Name(Required)

Email(Required)

Gender(Required)

Phone(Required)

Date of Birth(Required)

Prefered Locations(Required)

Please note that our imaging centre is located at Raffles Place, if you wish to complete both the blood test and X-Ray in the same location, select Pinnacle Medical Centre (Raffles Place)

Preferred Date(Required)

Kindly note that bookings need to be made at least 4 working days in advance.

Preferred Timing(Required)

Please note that clinic branches have different opening hours

Select Service(Required)

Work Permit Examination

Work Permit Examination with Chest X-Ray

Remarks(Optional)

Please note a copy of this appointment request form will be sent to the email indicated within this form.

CAPTCHA

Please contact us at connect@pinnaclefamilyclinic.com.sg or call our 24/7 hotline at 6235 1852, if you require any further information and/or assistance.

We look forward to serving you soon

Contact

EN Group Staff Appointment Request Form

Appointment Request Form

Other Questions?