Mastercard x DA Promotional Campaign
Free Health Screening + Complimentary Video Consultation
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Name as per NRIC *
Email Address (used to sign up on Doctor Anywhere app) *
Contact Number *
e.g. 6012-3456789
Preferred Screening Centre Location(s) *
You may select up to 3. Opening Hours: MON-FRI: 8am - 5pm; SAT: 8am - 1pm; SUN/PH: Closed
Required
Preferred Health Screening Date (Option 1) *
Kindly do NOT select Sundays or Public Holidays.
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Time
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Preferred Health Screening Date (Option 2) *
Kindly do NOT select Sundays or Public Holidays.
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YYYY
Time
:
Preferred Health Screening Date (Option 3) *
Kindly do NOT select Sundays or Public Holidays.
MM
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Time
:
Thank you!
Our DA Care Team will be in touch with you within 2 working days for confirmation and next steps.
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