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WELLNESS ASSESSMENT CENTRE

Make An Appointment (Corporate Clients)
IHP | Corporate Clients | General Public        
Part I: Personal Particulars
(bold - mandatory field)
Name   
NRIC  
Company   
Contact No.  (home) 
 (mobile/ pager) 
E-Mail  
    
Part II: Appointment Information
Preferred Date  (dd/mm/yyyy) 
Preferred Time  (hh:mm am/pm) 
      
Alternate Date  (dd/mm/yyyy) 
Alternate Time  (hh:mm am/pm) 
    
Health Plan*
  *depending on corporate policy
 
Part III: Authorisation Information
Name   
Designation   
Contact No.  (home) 
 (mobile/ pager) 
E-Mail  

  



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