Registration form

Consultation Charges

Initial Consultation charges apply to patients on their first visit to our clinic (up to 30 minutes). Initial Consultation fees are from SGD150.
No-Cancellation Consultation fee is charged from SGD100 (Prepayment is required to secure this rate 24 hours before your appointment).
Extended Consultation charges are from SGD100 per 15 minutes block after the initial 30 minutes.
Review Consultation charges are from SGD100, applicable for all subsequent visits after your initial visit.
Consultation charges may differ depending on the specialist you see. Please inform our staff if you would like to see a specific Podiatrist.
Consultation includes a comprehensive interview with professional advice on enquiries regarding your condition. Detailed assessments, imaging, investigations, therapies and procedures are charged separately.
Your Podiatrist will advise you on the charges before assessments, imaging, investigations, therapies and/or procedures are administered.
A charge of SGD100 to SGD150 is applicable for Podiatrist Reports and Completion of Insurance Claim Forms.
All fees and charges are accurate for the year 2024, subject to 9% GST.

Financial Obligation

Please ensure that you clearly understand the charges on your invoice before making payment. We will not be able to make changes to your invoice after payment has been made.
Patients will need to make full payment for their prescribed condition management plan.
We accept payments via Cash (SGD), NETS, VISA, MASTERCARD, AMEX, CUP and JCB.
Payments by foreign currency, cashier’s order or personal cheques are NOT accepted.
Please note that your insurance claim outcome has no implication on the fees paid at East Coast Podiatry. In the event that your insurance claims are denied, there is no basis for a refund.

Transfer and Refund Policy

Any or all monies paid by you toward East Coast Podiatry are strictly non-transferable and non-refundable.

The information we receive from you or about you is stored on systems designed to prevent loss, misuse, unauthorised access, disclosure, alteration or destruction of that information.
The data that you have provided is for the purpose of diagnosis and management of your medical condition as well as any follow-up administrative/operational requirements in relation to your management of care.
We will never use your personal information beyond the permissions that you give us.
We will never sell or share your personal details with any third parties for any commercial purpose.

Indemnification Policy

Please do not leave your personal belongings unattended. East Coast Podiatry shall not be liable for any damages and/or loss of your personal belongings.
The clinic shall not be liable to you, in the event you choose to discontinue or deviate from the condition management plan as advised to you by our Podiatrist.

Authorisation for Administration of Care

I agree for East Coast Podiatry and its Practitioners to administer care to me/my parent/spouse/child/friend as it is advised to me.

DECLARATION

I understand that the staff of East Coast Podiatry reserves the right to refuse service to abusive, rude or non-compliant patients within reasonable boundaries of our clinic policies.
I agree to provide my NRIC / ID / Passport and any relevant identification document for identification, upon request during registration for the clinic’s verification purposes.
I declare that the particulars and information given in this Patient Registration Form are truthful. I understand that any omissions or inaccurate information may affect the Practitioners’ diagnosis and management of care. East Coast Podiatry reserves the right to refuse or discontinue service in such cases.
I declare that I have read and understood the policies stated by East Coast Podiatry.

^*I agree to the terms and conditions.

Please fill out all mandatory fields.

Patient Registration Form