Please provide us with your consent to proceed with your Health Screening Appointment
Full Name (Per NRIC)
Email
Contact Number
By providing or making available my personal data in this form, I agree that Thomson Medical Group Limited and its related companies and its representatives, agents and business partners may collect, use and disclose my personal data for the purposes of the administration of my health screening appointment at health screening centres operated by Fullerton Health and other reasonably related purposes in accordance with the Personal Data Protection Act 2012 and Thomson Medical Group Limited's personal data protection policy available at its website https://www.thomsonmedical.com/personal-data-protection-policy. I further acknowledge and consent to my personal data being disclosed and transmitted to Fullerton Health solely for the purposes of administration of my health screening appointment and other reasonably related purposes.
Cancel
Submit