Kivicare Booked Appointment Online Appointments Full name * Date of birth * Gender * MaleFemaleOther Email * Phone number * Address * Choose the language for healthcare consulting EnglishFrench Choose healthcare consulting date * Choose healthcare consulting time * (Online) 7:45 - 8:008:00 - 8:158:15 - 8:308:30 - 8:458:45 - 9:009:00 - 9:159:15 - 9:309:30 - 9:459:45 - 10:0010:00 - 10:1510:15 - 10:3010:30 - 10:4510:45 - 11:0011:00 - 11:1511:15 - 11:3013:45 - 14:0014:00 - 14:1514:15 - 14:3014:30 - 14:4514:45 - 15:0015:00 - 15:1515:15 - 15:3015:30 - 15:4515:45 - 16:00 Describe your health problem If you are former patient of our Polyclinic. Please write your Patient ID or write "Former patient" if you forget your Patient ID. ---------------------------------- All information are used to create your profile on our Polyclinic's system for storage purpose. ---------------------------------- The time you choose for healthcare consulting and make a payment should be more than 1 hour after the time you fill in this appointment form. So, our receptionists can carefully confirm with the doctor and prepare for the appointment. You will receive the confirmation email with the LINK for your online appointment. Price (per ONLINE appointment): 400.000 VND (Four hundred thousand Vietnam Dong). With 15 minutes per appointment.