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.

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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

Phone No.

Is this appointment self-pay?
Yes
No

Company's GL or Insurance Policy

Address

Kuala Terengganu Specialist Hospital
Lot 3963, Jalan Sultan Mahmud, Kg Batu Buruk, Mukim, 20400 Kuala Terengganu, Terengganu, Malaysia.

Careline

+609-637 8888

Email

info.kts@tdmberhad.com.my

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