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For whom do you seek care?

Step 2: Confirm and Submit the Application

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Specialty / Service / Centre*

Professional’s Name*

Location*

Thank you for your request.

Please note that this is a preliminary appointment. Our staff will contact you as soon as possible within office hours via phone/email/SMS to confirm your appointment details. The appointment time may change based on the availability of the service provider.

If you have special requirements or wish to book a time not available in this system, please call our hospital hotline at (852) 2608 3388 or contact our relevant service units through the options below. We will do our best to assist you.

Service Units Contact: https://www.union.org/en/about-us/contact-us/service-booking

Date*

Time*

Primary Contact

Name*

Phone*

Gender*

Patient Information

Name*

Phone*

Gender*

Age

Booking Type*

Reason for Visit

Others

Insurance (if applicable):

Remarks

The personal information collected on this page will only be used for appointment services.

I or the patient declare that the information provided is correct, accurate, and complete.

I or the patient acknowledge that I have read, understood, and agree to the terms listed in the remarks, the "Privacy Policy Statement", and the "Disclaimer".

I or the patient have read and understood this statement and wish to submit my appointment request.

We have received your appointment request.

This appointment is not yet confirmed. Please be advised that after submitting the form, our staff will contact you as soon as possible within office hours via phone/email/SMS to confirm your appointment arrangements.

If you have any inquiries, feel free to contact our staff through the options below. We are here to assist you.

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