Please allow 1 working day for a confirmation on your appointment. It is also important to note that your request for an appointment is not confirmed until you receive a response from us. Please note that this is not a registration form to register you as a patient in the hospital. Thank you.

Make an Appointment

Select Hospital *

Select Speciality

Service Required *

Select Doctor

Preferred Appointment Date & Time (1st Choice)

Preferred Appointment Date & Time (2nd Choice)

Patient Full Name *

Patient Gender

Patient Date of Birth

Patient IC or Passport *

MRN (Medical Record Number)

Select Profession

Email *

Phone No. *

Is this appointment self-pay?
Yes
No

Company's GL or Insurance Policy

Direct Line No

+603-7805 2111

Email

info.kjmc@tdmberhad.com.my

Make an Appointment

Direct Line No

Email

Website

© KELANA JAYA MEDICAL CENTRE SDN BHD 199601038389 (410742-K) 2024. ALL RIGHTS RESERVED.