Please inform us if there is any change to your mailing address, phone number(s) and/or email address. We will update your records within 7 working days.

Name (as in NRIC)*
   
NRIC/FIN number*
   
Contact Number*
   
Email Address*
 
*Please fill in the compulsory fields above.
*Please note that our staff may call you at the provided contact number to verify your new particulars. You are encouraged to also provide an email address through which we can contact you, in the event that we are unable to reach you by phone. Your particulars may not be updated if we are unable to verify via phone or email.
 
    Current Information
(as per record with 
NHG Polyclinics)
New information
  Mailing Address
  Mobile No.
  Home Tel No.
  Email Address