PinkCare

1Please make payment and fill up the application form with proof of payment (PinkCare eCard is for women 40 and above).
2Please check your email for registration confirmation. Payment will be verified and e-Card will be sent in 5 days upon purchase.
3Please book your breast screening appointment by WhatsApp to Breast Care Navigator +6014 – 601 4247.+6014 – 601 4247.
4Please present your eCard and IC at your appointment.
5Important Note: This package is only for breast screening and does not cover patients with known breast lesions. Individuals with signs and symptoms should proceed to make an appointment with our General Surgeon or Breast Surgeon.

Application Form

E-card holder name as per IC *

E-card holder IC number *

Mobile phone number *

E-mail address *

Date of Birth *

Pink Care eCard Package
Price: RM198.00

You will be redirected to our authorised payment gateway operated by Billplz for the payment for the Pink Care eCard Package.

I agree to receive other communications from Mahkota Medical Centre. In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick the checkbox below. *

Mahkota Medical Centre Sdn Bhd (Mahkota) recognises the importance of protecting your personal information and is committed to the compliance of the Personal Data Protection Act 2010 (PDPA). Visit our privacy policy to view Mahkota Personal Data Protection Notice, which sets out, among others, the types of personal information Mahkota collect, how Mahkota process your personal information and Mahkota contact details if you have any queries. In submitting this form, I hereby consent to Mahkota for collecting and processing my personal data as per set out in the PDPA Notice. *

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About Us

PinkCare

Application Form