Appointments

Request an Appointment

Tell us how we can help and the hospital team will contact you to confirm your appointment.

For urgent medical situations 24 × 7 Emergency · +91 80516 29881

Appointment request form

Fields marked with an asterisk are required.

Patient Name

Phone Number

Age (optional)

Gender (optional)

Email Address (optional)

Add an email if you would like a written acknowledgement. The team will still confirm by phone.

Treatment / Department (optional)

Preferred Doctor (optional)

For laboratory or pathology enquiries, please use the Lab Enquiry form.

Preferred Date (optional)

Preferred Time (optional)

Reason for Visit (optional)

Additional Message (optional)

Preferred date and time are subject to confirmation by the hospital team.

Information submitted through this form is used to respond to your appointment request. See our Privacy Policy.

Verification code

Type the characters shown in the image (not case sensitive). Trouble reading it? Please call the hospital instead.

Submitting the form is a request, not a confirmed appointment.

Do not wait for a form response. Call the hospital directly.