Health Screening Appointment

ParkCity Medical Centre

No.2, Jalan Intisari Perdana, Desa ParkCity,
52200 Kuala Lumpur.

24 Hours Dedicated Careline: +03-56391616

24 Hours Emergency Department: +03-62793085

Health Screening Package

Health Screening Information

Hospital Name

Package

MRN Number

Upload Document (*You may upload relevant documents here.)

Preferred Appointment Date

Preferred Timeslot

Alternative Appointment Date

Alternative Timeslot

Please note that all preferred and alternative time slots are subject to availability and will be confirmed by the Health Screening Centre.

Patient Information

Name

Identification Number

Gender

Male

Female

Date Of Birth

Nationality

Country Of Residence

Contact Number

Confirmation

I hereby allow my personal data to be processed for purposes stated in CAH Medical Centre Sdn Bhd (“CMC”) Registration No.: 201301008653 (1038495-A) Privacy and Personal Data Protection Policy which is accessible at https://parkcitymedicalcentre.com/privacy-and-pdpa-policy

I hereby agree to receive marketing materials from Parkcity Medical Centre.