WhatsApp:
+60126377646
Tel: +60327870500
Email: info@hsc.com.my
Radiology Second Opinion
Booking Form
FAQ
Service Option
*
:
Please select one
CT Angiogram
CT Scan
Mammogram
MRI
X-ray
Patient Status
*
:
New
Existing
MR No.:
Name (as per MyKAD/Kartu Tanda Penduduk/Passport)
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:
Birth date
*
:
MyKAD/Kartu Tanda Penduduk/Passport
*
:
Sex
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:
Male
Female
e-Mail
*
:
Mobile No.
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:
Tel No.:
Nationality
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:
Malaysia
Indonesia
Singapore
Thailand
Philippines
Others
Address
*
:
Postcode
*
:
Next-of-kin Name:
Next-of-kin Contact No.:
Company Name:
Remarks:
For Second Opinion Review, please provide your previous scans and reports for our Radiologist review.
How to upload file(s)?
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Working Hours:
Monday to Friday 8:30am - 4:00pm
