Wira Clinic

Salam/Hi Mr/Ms/Mrs,

Thank you for reaching out to Wira Clinic. We will attend to your message shortly. In the meantime, please let us know how we can assist you.

🕒 Operating Hours:
Monday to Sunday, 8:00 AM – 9:00 PM (No Lunch Break)

For appointments or walk-in purposes, kindly fill in the form below to help us serve you better.

First Name *

Date of birth *

Phone *

No IC/Passport

Reason for Enquiry / Concern

For Example, Fever / Bloodtest / Circumcision / Medical Check Up

Is this your first visit to our clinic? *

Yes, I’m a new patient

No, I’ve visited before

Not sure

I consent to Wira Clinic collecting, using, and storing my personal data for medical and service-related purposes in accordance with the Personal Data Protection Act (PDPA). If I am submitting this form on behalf of someone else, I confirm that I have their permission to do so. I also confirm that all information provided is true and accurate.

I agree to receive health tips, promotions, and follow-up messages from Wira Clinic via WhatsApp, SMS, or email.