back to homepage
     Search 

About SNEC
Clinical Staff
Clinical Services
Eye Conditions & Procedures
Patient's Info
News & Events
Education
Contact Information
Sitemap


About SNEC
Home : Patient's Info : General Appointments
General Appointments

Singapore National Eye Centre
 
Appointments Hotline: Tel: (65) 6227 7266

Patient's Particulars
  Name in full *
(According to Identity Card or Passport)
 
NRIC / Passport / Birth Cert No. *
Fin No. *
(For work permit or employment
pass holders only)
  Date of Birth *
/ / (eg.: 01/12/1987)
  Gender
  Address
  Country of Residence
 
You may contact me at *
  Home
Office
Handphone
E-mail
 
I wish to *
cancel appointment
   
Remarks
 
   
We appreciate your response to the following. Thank you
I know of SNEC through:
 
Advertisements from....
(name of relevant publications)
Online search
Link in Google internet search
Local newspaper articles
Singapore newspaper articles
Other Singapore publications
To state :
Health-related events organised in my country
Recommendations by others
Other sources
To state:
 

*
Fields are mandatory.



back to top

Copyright © 2004. Singapore National Eye Centre. All rights reserved.