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MATERNITY SIGN UP FORM
The miracle of life begins here at Gleneagles Hospital Johor.

Our dedication to expectant mothers begins at the very start of life itself.

We are committed in providing safe and quality care to you and your bundle of joy.

Maternity Package Terms and Conditions:
  • This package is applicable for delivery without complications.
  • Patient are required to attend minimum 3 antenatal check-up with our participating consultants.
  • To enjoy the maternity package benefits, kindly register and make a pre-admission deposit of RM1,000 at our Business Office. Any maternity package sign-ups are subject to the consultant's discretion and approval.
  • This package is applicable for self-paying ONLY.
  • Package specifications and rates subject to change without prior notice.
  • This package is valid until further notice.
  • Do take note that final bill price is subjective to mother’s and baby conditions during and after delivery.
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Patient's Full Name *
NRIC
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Your choice of O&G consultant
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Expected Due Date
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Contact Number
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Email Address
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Tell us : How you find this package
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Maternity Package Selection:
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  Maternity Package Terms and Conditions
This package is applicable for delivery without complications.
This package is applicable for self-paying ONLY.
After office hour and public holiday surcharge applies.
Minimum 3 antenatal check-up with our participating consultants.
Package specifications and rates subject to change without prior notice.
Do take note that final bill price is subjective to mother’s and baby conditions during and after delivery.
This package is valid for until further notice.
I have read and agree to the "Terms and Conditions" above
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I have read, understand and consent to IHH MY Personal Data Protection Notice, accessible at https://gleneagles.com.my/legal/pdpnotice
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