Online Appointment

Your Information
Are you a NEW patient? *

Yes, I am a NEW patient. No, I am an EXISTING patient.
Full Name *

First Name Last Name
Phone Number *

Country Code Area Code Phone Number
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Treatment Info

Choose your Treatment(s)
CBC Urine D/R Fasting Gulcose Fasting Cholestrol Serum Creatinine Liver Function Test Lipid Profile Hepatitis B Surface Antigen Anti HCV Vitamin B12 RBC Folate Phosphorus Direct Coombs Test Intrinsic Factor Antibodies
Electrolytes Test Micro Albumin Urine Blood Urea Nitrogen Creatinine Clearance(ml/min) Anion Gap(calculated value) Serum Calcium Serum Phosphorous Serum Parathroid Hormone Uric Acid Albumin/Creatinine Ratio 24Hrs Blood Urea Nitrogen Calcium Red Blood Cell Folate Levels Complete Blood Count
Albumin Corrected Total Calcium Magnesium PTH ALP 25 OH VIT D Serum Parathroid Hormone Alkaline Phosphate NTX Rscreen HBSAG HCV RUBIGG RUBIGM
Anti-TPO SGPT (ALT) Hepatitis B Surface Antibody Serum Iron TIBC Serum Ferritin HsCRP Homocysteine Fasting Insulin Luteinizing Hormone Free Androgen Index Follicle Stimulating Hormone Reticulocyte Count LDH
Please Specify Treatment Areas:
Appointment Info
Instructions: Select up to three (2) preferred appointment dates and times.

Please note our business hours:

MONDAY - SUNDAY: 8am to 12pm
1st Preferred Date *

Month Day Year
Time Range *

: Hour Minutes AM/PM Option
until
until : Hour Minutes AM/PM Option
2nd Preferred Date *

Month Day Year
Time Range *

: Hour Minutes AM/PM Option
until
until : Hour Minutes AM/PM Option
IMPORTANT: You will be contacted by one of our representative to confirm your final appointment date and time. Your request is not complete without a final confirmation.
Disclaimer: Although we strive to accommodate your preferred appointment dates and time, we cannot make any guarantees due to a number of conditions, including, but not limited to: business hours of operation, staffing, equipment, availability, and holidays. Please allow us up to 24-hours to respond to your appointment request. If you are requesting an appointment within the next 24-48 hours, we ask that you please call us to help expedite your appointment request: (042) 37301356.
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Your Information

Treatment Info

Appointment Info