EN | | PHF Provisional Licence No.:DP000101
| info@specialists.hk | 3405 8288 |

Appointment of Gastroscopy

Notice:

Thank you for your reservation request. Please note that is NOT a confirmed reservation. Our staff will confirm your consultation details by phone within ONE working day.
For any enquiries, you are welcome to contact our service hotline at 3405-8288.
The information provided by the applicant will be used for appointment only.

I. Services Day-case Gastroscopy
II. Personal Info
Titles
Chinese Name
English Name
Day of Birth Year Month Day
ID card No
Mobile No
Email
III. Appointment details
Preferred Date:
Alternative Date
Taken antibiotics in the past 4 weeks
Referral letter
Have you ever had a gastroscopy?
Other Info