Request Appointment (Self-Referral)

You do not need a doctor referral to request an appointment. If you have an abnormal scan, high-risk screening result, twin pregnancy, fetal growth concern, or high-risk pregnancy condition, you can submit your request here.

Urgent Safety Warning:

This form is not for emergencies. If you have bleeding, severe abdominal pain, reduced fetal movements, ruptured membranes, severe headache, visual symptoms, or feel acutely unwell, please attend emergency care immediately.

Your information is handled confidentially in accordance with Mediclinic clinical data policies.

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