Telemedicine

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

Vertical Divider

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

ONLINE BANK TRANSFER/DEPOSIT
EastWest Bank
P650
Account Name: Remnant Institute Inc.
Current Account #: 200021332541

OVER THE COUNTER PAYMENT
Cebuana Lhuillier/Palawan Pawnshop
P650
Name: Mr. Joey B. Gallentes
Contact No.: