Doctor’s Referral

For urgent enquiries, please contact

Dr. Saba Iqbal - Managing Director

Telephone: (+65) 9666 2043

Syed Munir Iqbal Executive Director

Telephone: (+65) 9674 3009

Should you have any enquiries, please email us or submit the form

Doctor's Personal Details

Name
Telephone No.
Mobile No.
Email Address
Name of Hospital / Clinic

Patient's Details

Patient's Name
Gender	Male Female
Age
Contact Phone No.
Patient’s current medical problem / symptom / diagnosis / Treatment


Doctor's Recommendation

Preferred Appointment Date in Singapore

Preferred Doctor in Singapore
Yes No
Preferred Hospital for treatment
Yes No

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