Specimen Collection Request

Specimen Collection Request

To request for specimen collection, please complete and submit the form during these hours: Mon-Fri 8:30-16:30 / Sat 8:30-12:30.

This form is not applicable for clinics located in Parkway Hospitals' Medical Centres, Lucky Plaza, Novena Square, Square 2, and Paragon.

Bldg/Blk Number/Unit No/Street/Postal Code

Clinic staff name