Referral Form

Note: Please do not use this form to arrange appointments or request reports. Instead, kindly call this number +603 2780 4288.

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KL Fertility Centre
LG Lot 23A, 25, 26, 27 & 30 DC MALL,
No 6 Jalan Damanlela, Bukit Damansara,
50490 Kuala Lumpur, Malaysia.

TELEPHONE
+603 2780 4288

FAX
+603 2780 4299

Clinic Days
Mondays to Fridays: 8am to 5pm
Saturdays: 8am to 1pm
Sundays and Public Holidays: CLOSED

Patient's Particulars