Appointment



    Appointment Date *

    First Name *

    Last Name *

    Email *

    Mobile *

    City *

    Location *
    Speciality *

    Tests

    Message *

    I agree to terms

    “I hereby consent to permitting the healthcare workers of Express Clinics to clinically examine me, draw or use my blood or urine samples for tests as advised by the doctors or as per my health package selected. ”

    By filling this appointment form, I hereby consent/ agree to receiving, in addition to test results and information related to my health, periodic updates, offers and information on promotions from Express Clinics, in a manner permitted by applicable law either by via email, SMS or voice calls.

    Your Request Not Send

    Your Request Send Successfully

    Your Request Send Successfully

    Your Request Not Send









    Enquiry Form
    close slider

    Enquiry Form