Shared Medical Appointment

STEP 1 - register

Please book at least 24 hours prior to your preferred schedule.

* Indicates required field

Name *

First

Last

Age *

Gender *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mobile Number *

Health Concerns *

Upload Laboratory Results *

Max file size: 20MB

Payment Transaction Receipt *

Max file size: 20MB

Submit

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step 2 - Booking

Please book at least 48 hours prior to your preferred schedule. Follow the required steps for successful booking.

OTHER payment options

PAY ONSITE
Remnant Institute Inc.
26 Huervana Street, Lapaz

ONLINE BANK TRANSFER/DEPOSIT
EastWest Bank
P500
Account Name: Remnant Institute Inc.
Current Account #: 200021332541

OVER THE COUNTER PAYMENT
Cebuana Lhuillier/Palawan Pawnshop
P500
Name: Mr. Joey B. Gallentes
Contact No.: 09216983900