Columbia Asia Hospitals offer medical services across a wide range of specialities. To request for an appointment or consultation at any one of our hospitals in Malaysia, please fill in your details below. Appointments are subject to schedule availability and pending for confirmation. We will contact you via email or phone call to confirm your appointment. You can also book an appointment via WhatsApp Appointment Else, you can fill in the appointment form below. Patient Information All the fields marked as * are important information for us Name * IC / Passport * *E.g: 780101-11-1234 Gender * Male Female Date of Birth * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year Phone / Mobile Number * *E.g: +60xxxxxxxxx Email * Appointment Details Appointments must be made at least 3 business days in advance and are subject to schedule availability. Hospital * BintuluBukit RimauCherasIskandar PuteriKlangPuchongPetaling JayaSerembanSetapakTaipingTebrau Department / Specialty * Dietetic and Nutrition Doctor - Select -Other Appointment Category First visit Follow Up Priority * Next available slot Within next 7 days Within next 15 days Message Send yourself a copy Send yourself a copy Submit