Welcome Humanity & Health

Check-Up and Vaccination Service Application Form

Client's Information



  • Service Type
  • Individual
  • Chinese Name
  •  *
  • English Name
  •  *
  • Date of Birth
  • / /
  • HKID No.
  • Sex
  • Male       Female
  • Contact Phone No
  •  *
  • Email
  •  *


Details of Booking



  • Service
  • Preferred Date & Time
  • / /
  • Alternative Date & Time
  • / /
  • Venue
  • Central office
  • Remarks
  •  

  •  

  • Office Hour: Mon to Fri 9am - 1pm, 2pm - 6pm
    Sat 9am - 1pm
    Sunday and Public holiday close