香港妇健网上预约

* 病人姓名 Name:

* 联络电邮 Email Address:

* 联络电话 Contact Phone:

* 预约日期 Appointment Date:

(请输入想预约的日期，例如: 26/02/2017。星期日及公众假期休息。)
(Please enter your preference, eg. 26 Feb 2017. Closed on Sunday and Public Holiday)

* 预约时段 Appointment Time:

星期一至五 / Monday-Friday:

或

星期六 / Saturday:

如天文台显示悬挂八号风球或黑色暴雨，预约将会被取消。
The appointment will be cancelled when typhoon 8 or rainstorm Black warning is hoisted.

最后月经第一天 / 预产期LMP/Due date:

(请输入日期，例如: 26/02/2017)
(Please enter the date, eg. 26 Feb 2017.)

* 检查项目 Examination:

备注: 如要预约其他项目，如结构，妇科手术，床位，抽羊水，亲子鉴定等, 请在办公时间致电(852) 2368-2333。
Note: If you need to book other appointments, such as morphology scan, Gynae operation, Maternity bed, Amniocentesis, Paternity test etc, please call (852)2368-2333 during office hour.

*留言 Message: (最多输入 150 字)

* 你是否同意以上个人资料将用作中心通讯用途?
Do you agree that the above personal data will be used for communication purposes?

我们的职员会在办公时间致电 / 电邮确认您的预约
Our staff will contact you to confirm your booking.