International Medical Service
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My Current Medical Condition / Enquiry :
My preferred institution to visit :
Specialty : Preferred Doctor
(Optional)
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Patient's Particulars

* First/Given Name :
* Last/Family Name :
* Email :
* Main Contact No :
(Country Code) - (Main Contact No)
Alternate Contact No :
(Country Code) - (Alternate Contact No)
* Date Of Birth : * Gender :
Nationality : Passport No :
Country of Residence : City of Residence :
Current Home Address :

If contact person is different from above, please provide the Enquirer's details.

Do you need assistance? Charges for our Concierge Services may applies.
Yes No If Yes, please select the items below.
Airport Pickup :
+ Transportation : If Ambulance,
+ Hotel Arrangement :
+ Translator : Please state if a translator is required during your visit.
+ Language to be translated : If other,
We will try our best to source for an appropriate translator.

Do you have any existing medical information/documents and/or additional attachments to be sent over?
Yes No

Please send your attachments to any of the following channels below. We recommend that you attach a printed copy of this completed form with your attachment(s).
  • Email to us at ims@singhealth.com.sg

  • Fax to us at this number (65) 6223 6094

  • Send by registered post to us at:
    SingHealth International Medical Service
    c/o Singapore General Hospital
    Block 6 Level 1
    Outram Road
    Singapore 169608

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SingHealth's International Medical Services (IMS) team provides a wide spectrum of services to patients from overseas and their family members, ensuring them of a pleasant and comfortable experience throughout their stay. Please click here to find out more about our services.


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