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Request for Appointment

Request for Appointment

You can request to schedule a doctor's appointment from the comfort and convenience of your own computer.
Please fill out the following form in its entirety . You will have the opportunity to provide us with the dates and times that are convenient for you. When you are finished, please click the Submit button.
Please note that your appointment is NOT scheduled until you have received a confirmation email from Manipal Hospitals.

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For queries regarding your appointment/emergency admissions,please contact : 1800 3001 4000

Disclaimer: In case the doctor you wish to consult is not available because of unavoidable circumstances, a new date for consultation with him/her will be proposed. You will also be given the option to consult the doctor(s) available at the time.

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