By providing the information set out in this form, I consent to Cardiac Vascular Sentral (Kuala Lumpur) Sdn. Bhd. (CVSKL) and their representatives, and/or agents collecting, using and disclosing my personal data to provide me with medical treatment and other reasonably related purposes. Such purposes are set out in the CVSKL Personal Notice. I further confirm that all personal data that I have provided are all true, up-to-date and accurate. Should there be any changes to any of my personal data, I shall notify CVSKL immediately.

我明白我可以随时以退出此同意许可，并且发出电邮至 opdweb@cvskl.com 、 info@cvskl.com.

注:
您所预约的看诊时间和日期将视情况而定。我们会在收到您预约的3天工作日内向您确认您的看诊时间和日期。
Patients who require urgent medical attention, kindly call our 24-hour Emergency Department at +603 2276 7999.