Book an Appointment

How the Appointment Request Process Works

The form below allows you to submit an appointment request. Please note that an online request is not a confirmed appointment until the hospital verifies it and contacts you.

After you submit your request, our team will review the information and contact you using the details you provide to confirm availability and finalise the appointment.

Important: This is not a real-time booking system. Do not use this form for medical emergencies. For emergencies, please contact the hospital's emergency department directly or your local emergency services.

Privacy Notice: Please do not include sensitive medical information in the "Reason for Visit" field. Only provide a brief, non-sensitive description. Full medical details will be discussed confidentially with hospital staff.

Appointment Request Form

Patient Full Name *

Date of Birth *

Patient must be born before today.

Mobile Number *

Email Address *

Department / Specialty *

Department list is a placeholder — verify official specialties.

Preferred Doctor (Optional)

Doctor availability is subject to confirmation. Do not enter unverified doctor names.

Preferred Appointment Date *

Select a date from today up to 90 days ahead.

Preferred Time Slot *

Patient Type *

New Patient

Returning Patient

Brief Reason for Visit (Optional)

Do not include sensitive medical details. Maximum 500 characters.

I consent to the processing of the provided personal data for the purpose of handling this appointment request, in accordance with the applicable privacy notice. I understand that this is a request and not a confirmed appointment. *

Your information is handled securely. Submission does not confirm an appointment.

HINDUJA HOSPITAL

How the Appointment Request Process Works

Appointment Request Form

HINDUJA HOSPITAL