E-appointment

Please enter the information below to request an appointment with us.

The requested appointment slot is subject to availability and our staff will contact you within 5 working days.

To book an urgent/emergency appointment, please call us at 6336 6222. All fields marked with an ( * ) are mandatory.

 

Existing Patient YesNo

Name

NRIC/BC/Passport Number/FIN

Contact Number

Email Address

Gender

Preferred Clinic Ang Mo KioBedokBishanClementiChoa Chu KangHarbourFrontHougangJurong PointOne Marina BoulevardOrchardMarine ParadeSerangoonTampinesTanjong PagarThomsonToa PayohWoodlandsYishun

Preferred Dentist Dr Adrian CheungDr Adrian LeeDr Albert Lee Ming HsienDr Ashley LimDr Chan Shook KengDr Chin Meng YeanDr Clara LooDr Clement GohDr Colin OngDr Debbie OngDr Diana LeeDr Edmund ChueDr Goh Siew HorDr Ho Ji DingDr Jasmine Chua Lu YanDr Jeevan ApokDr Johari HamdanDr Joseph TanDr Lai Juen BinDr Lee Sin ChiehDr Liew Weng YinDr Lim Chwee HuunDr Lim Fah LiongDr Lim Gim TeckDr Lim Sze MinDr Narendran Andrew RobinsonDr Paul LimDr Pong Mei YeeDr Quek Jiun HaurDr Rachel ShenDr Raechelle KohDr Rafidah MuhalilDr Roy Yeo Eng ShingDr Russell Tan Kok SiangDr Sandra Chan Yoke SanDr Soh Wan ChwinDr Sun Yin PingDr Susan BoeyDr Theodora LeeDr Tiju KrishnanDr Toh Kwai MuiDr Tricia Lim Kai ChinDr Vivian ChanDr Wang MeiyingDr Wee Yong KiatDr Wong Li QingDr Yang Terh YiauDr Yap Yew Teck

Preferred Date

Alternate Preferred Date

Time Slot AnytimePMAM

 

Enter Plus! Code

 

Treatment Type

By submitting this form, you have given us your consent to be contacted using your provided contact details for the purpose of your request.

Submit Reset