• POLIO WALK 2026 – Health Screening Pre-Registration / PRA-PENDAFTARAN PEMERIKSAAN KESIHATAN / 健康检查预先报名表

    Select your screening(s), confirm blood-draw requirements if choosing Kidney/Prostate, and submit your details for pre-registration.
  • Date of Birth / Tarikh Lahir / 出生日期*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender / Jantina / 性别*
  • Format: (000) 000-0000.
  • Blood-Taking Notice / Notis Pengambilan Darah / 血液抽取须知

    Kidney Screening and BLUE DOT – Prostate Screening (PSA Test) are provided by different healthcare teams and samples go to different laboratories.
    Selecting both requires two separate blood draws.

    For JEJAK Health Screening, NCSM PERKESO HSP 2026, and PEKAB40, any additional blood sampling, if applicable, will follow the respective provider’s procedure and participants will be advised accordingly.

    Pemeriksaan Buah Pinggang dan BLUE DOT – Pemeriksaan Prostat (Ujian PSA) disediakan oleh pasukan penjagaan kesihatan yang berbeza dan sampel dihantar ke makmal berasingan.
    Memilih kedua-duanya memerlukan dua pengambilan darah yang berasingan.

    Bagi Pemeriksaan Kesihatan JEJAK, NCSM PERKESO HSP 2026, dan PEKAB40, sebarang pengambilan darah tambahan, jika berkenaan, akan mengikut prosedur penyedia masing-masing dan peserta akan dimaklumkan sewajarnya.

    肾脏检查和 BLUE DOT – 前列腺检查(PSA检验)由不同的医疗团队提供,样本送往不同的实验室。
    若两项都选择,将需要分别抽血两次。

    对于 JEJAK 健康检查、NCSM PERKESO HSP 2026 和 PEKAB40,如有需要,任何额外抽血将依照各自医疗机构的流程进行,参加者也会获得相应通知。
  • Which screening programme(s) are you interested in? / Program pemeriksaan manakah yang anda berminat? / 您有兴趣参加哪一项检查计划?*
  • Programme Details / Maklumat Program / 项目内容说明

  • JEJAK Health Screening
    Blood Pressure and Pulse Rate; BMI and Waist Circumference; Hepatitis B and Hepatitis C Tests; Smokerlyser; IFOBT; Clinical Breast Examination (females only).
  • NCSM PERKESO HSP 2026
    Physical Examination; Mental Health Screening; Full Blood Count (FBC); HbA1c; Fasting Lipid Profile; Urine FEME; Pap Smear (women only).
  • PEKAB40
    Full Blood Count; HbA1c; Random Lipid Profile; Renal Profile with eGFR; Urine Biochemistry.
  • BLUE DOT – Prostate Screening (PSA Test)
    PSA Test — eligible males aged 40 years and above.
  • Eligibility Notice for BLUE DOT Prostate Screening / Notis Kelayakan BLUE DOT Pemeriksaan Prostat / BLUE DOT 前列腺检查资格须知
    BLUE DOT – Prostate Screening (PSA Test) is ONLY for eligible male participants aged 40 years and above.
    BLUE DOT – Pemeriksaan Prostat (Ujian PSA) HANYA untuk lelaki yang layak berumur 40 tahun dan ke atas.
    BLUE DOT – 前列腺检查(PSA检验)仅限符合资格的40岁及以上男性。
  • Eligibility Note / Notis Kelayakan / 资格须知
    Registration shows your interest only. Programmes marked Subject to Eligibility / Tertakluk kepada Kelayakan / 须符合资格 will be confirmed by the healthcare provider.
  • Should be Empty: