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If you have been referred to our Out-Patient clinics, complete the form below to request an appointment. Once we have received your request, you will be contacted by our Medical Records Department with details on your scheduled date and time for your appointment, subject to availability.

Medical Records Appointment System

Patient Information

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Enter your 10-digit telephone number e.g. 246 555 5555
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Enter your 10-digit mobile number e.g. 246 555 5555

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Enter a 10-digit telephone number e.g. 246 555 5555
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Enter a 10-digit mobile number e.g. 246 555 5555
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