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Tap into our network of medical specialists. Please complete the form below. If you require urgent medical assistance at CVSKL, please call our 24-Hour Emergency Department at +603 2276 7999. 


By providing the information set out in this form, I consent to CVSKL and their representatives and/or agents collecting, using and disclosing my personal data to provide me with medical treatment and other reasonably related purposes. Such purposes are set out in the CVSKL Data Privacy Policy, accessible at Privacy-Policy or available on request. I further confirm that all personal data that I have provided are all true, up-to-date and accurate. Should there be any changes to any of my personal data, I shall notify CVSKL immediately.

I understand that I may withdraw such consent at any time via unsubscribe facilities OR forms available on request from our staff OR by email to CVSKL Outpatient Department at or .