CANCEL APPOINTMENT
 
 

 
Request for Appointment at Niks Maple Laser Clinic

Dear Patient, please kindly note that:

  • This page is only intended for request for appointment at Niks Maple Laser Clinic. Your request is not confirmed until our staff member telephones you.
  • If you wish to obtain a confirmed appointment immediately, please telephone the clinic at 62359428 during office hours.
  • Niks Maple Clinic at Tampines, Niks Maple West Clinic at West Coast and Niks Maple North Clinic at Yishun are walk-in clinics. No appointment is necessary.
  • We are not able to contact telephone numbers outside Singapore.

Patient Name                         

Patient NRIC/Foreign ID              

I am a                                    

Telephone                                (Singapore number only)

Preferred Doctor                    

Preferred Date                         (dd/mm/yyyy)

Preferred Time                       

Please enter the security code "964937" here               

I understand that this is a request for appointment only and no appointment is confirmed until I am contacted by telephone.