Book an Appointment

Schedule your consultation with our medical professionals. Please fill out the form below and we'll confirm your appointment within 24 hours.

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Phone Number *

Email Address

Blood Group

Address *

Next of Kin Name *

Next of Kin Phone *

Relationship *

Emergency Contact Name *

Emergency Contact Phone *

Known Allergies

Medical History

Department *

Appointment Type *

Preferred Date *

Preferred Time *

Reason for Visit *

Additional Notes

The fee will be confirmed when you arrive for your appointment. We offer sliding-scale fees and financial assistance for those in need.

UGX 30,000

You will receive a confirmation call within 24 hours to confirm your appointment details.