sQ SingpassVerify

Patient Self Service Registration

Using Singpass Verify

is appointed by Khoo Teck Puat Hospital to offer registration service to our patients.

Don't have Singpass?
Fill the form manually

Name

Title (称号):

Name (姓名):

Nationality (国籍):

Date of Birth (出生日期):

Gender (性别):

Other Patient Data

Race (种族):

Document No (身份证):

DocType (准证):

Residential Status (居住状况):

Pass Expiry Date (证件到期日):

Country of Birth (出生国家):

Name of Employer (雇主名称):

Address

If your address is different from your NRIC's address, please provide our staff with proof of your new address.

Level (楼):

Unit (单位门牌号):

Block (座):

StreetNo (街道地址):

Building (大厦名称):

Postal Code (邮编):

Country (国家):

Mobile Number (手机号码):

Home Number (住家电话号码):

Email (电子邮箱):

Next of Kin

Details of your NOK/Spokesperson is required for registration.
However if you prefer not to share your care information to anyone else, kindly indicate “NA” for all fields below, and inform our staff.

Name (姓名):

Phone Number (联系号码):

Relationship (关系):

Patient Self Service Registration

Using Singpass Verify

Your information has been sent successfully!

Your manual submission has been sent successfully!