Psychological and Counselling Services

Psychological and Counselling Services

Online appointment must be made at least 3 working days in advance and subject to availability.If you are having problem using this form, you may call to our appointment direct line at +604-6528997/8667.
Patient's Name (Follow exact name in NRIC or exact name in Passport) *
Email*
example@example.com
Type of Service*

First consultationFollow up appointmentPsychological Wellness ScreeningCognitive Screening Test
Psychological Wellness Screening (PWS) – for aged 18 and above
PWS is a brief, rapid screening that helps you get to know your current mental health condition better. It serves as the first step in taking care of your mental health. During PWS, our mental health professionals will guide you through the process of understanding your mental health condition, learning about the warning signs, pick up adaptive coping skills, and access to credible mental health care services and resources in a safe space with ensured confidentiality.
Cognitive Screening Test (CST) – for aged 18 and above
CST is a rapid screening test that checks how well your brain is functioning. Through CST, you may get to know how well you think, learn, and remember; learn about the warning signs of cognitive changes; and learn on ways to keep your brain healthy as you age.
Are you under the Employee Assistance Program (EAP)?*

YesNo
Company name
Employee number

First consultation
Type of visit*

Never seen any consultant in Hospital Lam Wah EeSeen other consultant in Hospital Lam Wah Ee before

Follow up appointment
Preferred Date*

DayMonthYear
Online appointment must be made at least 3 working days in advance and subject to availability.
Preferred Time*

AMPM
NRIC / Passport No.*
Telephone No. / Handphone No.*
Type of visit*

Face-to-faceTeletherapy
I want to make an appointment with*

Clinical PsychologistCounselor

Psychological Wellness Screening
Type of visit*

Never seen any consultant in Hospital Lam Wah EeSeen other consultant in Hospital Lam Wah Ee before

Cognitive Screening Test
Type of visit*

Never seen any consultant in Hospital Lam Wah EeSeen other consultant in Hospital Lam Wah Ee before

First consultation