Book Consultation
Dr. Evan Vista
Internal Medicine-Rheumatology
"Hello my dearest patients, I’m very happy to continuously get in touch with you and get updates regarding your health thru technology. This telemedicine is an added service for my dear patients who are unable to see me in my clinic. Thank you and stay well!
*You may text/call Ms Grace Ongue +639175255030 for any concerns"
Step 1: Enter Patient Details
First Name
(Given Names)
*required
Middle Name
(optional)
Last Name
*required
Gender
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*required
Birth Date
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*required
Step 2: Enter Contact Details
I am
not
the Patient
Your Name
*required
Your Relation to the Patient
*required
Mobile Number
*required
E-mail Address
*required
Booking Confirmation will be sent here.
Step 3: Review Declarations
I have read and agree to ClinicKo's
Terms of Use
and
Privacy Policy
.
I fully understand the limitations, risks, and my responsibilities of using this Telemedicine Service.
I have the legal rights to act on behalf of the Patient.
