Home > Make Appointment > Appointment form ONLINE APPOINTMENT FORM Kindly fill in the information below and we will contact you within two working days.To find a doctor, click here > Your Selection Doctor* I don't have a preference Clinic* I don't have a preference Your Preferred Date * Your Preferred Time * --- Preferred Appointment Mode * Face to faceTele-consultation Your Details Your Name * Your Email Address * Your Phone * Preferred Mode of Contact * EmailCallWhatsApp Your Appointment Concern(s) Attach files Attach File(s) * I consent that gutCARE may collect, use and disclose my personal data to provide me with medical treatment and other related purposes in accordance with the Personal Data Protection Act 2012 and gutCARE Data Protection Policy. Back