Appointment of Colonoscopy

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 Colonoscopy

Specialist Choose Your Specialist Dr. Lam Wing Fong Percy (Male) Dr. Lam Chi Sin Michelle (Female) Dr. Lau Churk Ning Kevin (Male) Dr. Siu Yin Yu (Female) Dr. Law Chung Yau (Male) Dr. Sze Yuen Chun (Female)

II. Personal Info

Titles Mr Mrs Miss

Chinese Name

English Name

Day of Birth Year 1 2 3 4 5 6 7 8 9 10 11 12 Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day

ID card No

Mobile No

Email

III. Appointment details

Preferred Date:

Timeslot AM PM

Alternative Date

Alternative Date AM PM

Have you ever join the Colorectal Cancer Screening Programme(CRCSP) before? YES No

Referral letter YES No

Have you had a Colonoscopy before? YES

No

Other Info

Validation