Make an Appointment

Select Service

Services *

Corporate Name (for Corporate Client Only)

Do you use health insurance medical card?

YesNo

Please check with your insurance company for the validity of your medical card in HKAH

Upload Insurance Card

PDF / JPG / PNG

Uploaded Card:

health_insurance_medical_card.pdf

Please fill in the insurance company issued your card

Select Location

Prefered Location*

Select Date and Time

Prefered Date*

Prefered Time*

Personal Information

Patient No. (for existing patients)

Title

Last Name *

First Name *

Mobile Phone *

Email*

Date of Birth *

HK ID Card / Passport No.*

* first 6 Digit e.g. A12345xx

Preferred contact time

9am - 12pm12am - 2pm3pm - 6pmAnytime

Security Code *

(case sensitive)

The personal information that you provide will be kept confidential, and will only be used for the purpose of making an appointment.

I have read and understand this statement and wish to confirm my appointment request

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