Book a Mammogram Appointment

Kindly fill up your particulars in the form and our team will contact you within two working days to schedule your appointment.

01 Personal information

First Name *

Last Name *

Date of Birth (DD/MM/YY) *

Nationality *

02 Contact information

Email *

Contact Number *

03 Schedule an appointment

Preferred Screening Date *

Preferred Screening Time *

* I agree to the terms of use and IHH Singapore Personal Data Protection Policy and consent to the use of my personal data given above to process follow-up actions to provide a seamless patient experience, including but not limited to confirming my appointment etc.

* I acknowledge and consent to Parkway Cancer Centre's access and use of my personal and medical information from Parkway MediCentre for the purpose of processing my screening results.

I consent to Parkway Cancer Centre and Parkway MediCentre, its employees, representatives, agents and/or business partners, collecting, using and disclosing my personal data for the following purposes and understand that I may opt out of the subscription at any time:

Events updates and invitations
E-newsletters
Other marketing and promotional purposes

Thank you for your submission. We will get in touch.