Rewardz [MY] Family Care Package

Family Care Package

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APPOINTMENT DETAILS
Appointment Date and Time*
First Person
Full Name (as in NRIC)*
NRIC*
Nationality / Citizenship*
Gender*
Date of Birth*

DayMonthYear
Mobile Number*
Email*
Appointment confirmation will be sent to this email
Home Address*

Street Address

Floor, Unit #, Building Name etc.

CityState / Province

Postal CodeCountry
Second Person
Full Name (as in NRIC)*
NRIC*
Nationality / Citizenship*
Gender*
Date of Birth*

DayMonthYear
Third Person
Full Name (as in NRIC)*
NRIC*
Nationality / Citizenship*
Gender*
Date of Birth*

DayMonthYear
Fourth Person
Full Name (as in NRIC)*
NRIC*
Nationality / Citizenship*
Gender*
Date of Birth*

DayMonthYear
Remarks / Special Instructions (optional)

My Products*

Vital Screening Package

Includes at-home screening for Blood Glucose, Full Blood Count, Kidney & Liver Function, Urine Analysis, Cholesterol Profile, and Gout Screening for 4 people. Includes 1x Nurse Home Visit (8am-6pm) & 1x Telemedicine Consultation (15 Minutes between 8am-11pm).

600.00MYR

Enter coupon

Subtotal

0.00MYR

Tax

0.00MYR

Total

0.00MYR

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

TERMS AND CONDITIONS
1. Bundled rates are only applicable for bookings scheduled for completion during the same home visit.
2. A RM100 surcharge will apply to visits canceled within 24 hours of the scheduled appointment.
3. A surcharge of between RM50 and RM100 applies for any scheduled home visit on a Public Holiday.
4. A surcharge of between RM50 and RM120 applies for any scheduled home visits outside of service coverage.
5. Corporate programmes and other programmes are not applicable to these prices.
6. Rates are not applicable with other ongoing promotions, discounts, offers, vouchers, rebates or privileges.
7. Speedoc’s Terms of Use and Privacy Notice apply.
8. For more information, contact our team at contact.my@speedoc.com or +6011 4166 1178.
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