SUBMISSION TO POST PRACTICE HOME PAGE at hk-doctor.com

PERSONAL INFORMATION

Name:
Chinese Name:
(For convenience, you may enter the telecode under your Chinese name in the ID Card)
Specialty:
Qualification: 1.

2.
3.

4.
5.

6.
7.

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9.

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PRACTICE INFORMATION

Name of Hospital/Clinic:

Address: (English)
(Chinese)(Optional)
Telephone:

Office Hour:

Weekdays: (mark # if appointment required)
Saturday:
(mark # if by appointment)
Sunday:
(mark # if by appointment)
Public Holiday:
(mark # if by appointment)

CONTACT INFORMATION

Telephone:

Fax:

(mark # if hidden from public)
Email:

(mark # if hidden from public)
Pager:

(mark # if hidden from public)
Mobile:

(mark # if hidden from public)

Please note that the practice home page will follow the guideline recommended by all the official medical authority in Hong Kong. We don't automatically put up any details you don't want to disclose, except the name and specialty which are already open to public. You can indicate your choice by selecting show/hidden. However, we do automatically offer you a free membership so that you can go into members-only area. Details will be sent to you later.