Request the care you need, at a time that suits you.

Choose a service and preferred date for yourself, a family member, someone you care for or a patient you are referring.

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Request details

Fields marked with * are required.

Your full name *Patient’s full name *Phone or WhatsApp *Email addressService required *Who are you booking for? *Preferred date *Preferred timePreferred confirmation method *Patient’s area or townAnything the scheduling team should know?

Protect your informationThis form is for scheduling only. Do not include medical records, laboratory results, diagnoses or other sensitive clinical details.

I understand this is an appointment request, not a confirmed booking or emergency service. REMA Care will contact me to confirm availability.

If you need urgent assistance, contact the REMA Care team directly or use the appropriate local emergency service.