Your appointment request has been submitted!
An email will be sent to {|CustomerEmail|}
Our customer service representative will contact you to confirm your appointment within the next working day.
Failed to Submitted Appointment request!
Kindly retry the request later
Kindly note this is not a confirmed appointment.
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Please check and confirm your details below before submitting appointment request:
IC number/Passport number
Salutation
Full name
Email Address*
Date of birth
Eg: +60*
Contact number
Medical Concern/ Request*
EMERGENCY CONTACT
Gleneagles Hospital Kuala Lumpur
Ambulance / Emergency
+603 4141 3018
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