Book an Appointment

Fill in your details, pick a service and time, then confirm.

Step 1

Contact & Patient Details

Who is this appointment for?

For Myself

Use my details as the patient information for this request.

For Someone Else

I am the contact person, but the appointment is for another patient.

Your Details

We will use these details to confirm and update the appointment.

First Name *

Middle Name (Optional)

Last Name *

Birth Date *

Contact Number *

+63

Email Address *

We only collect the details needed to reserve your slot, identify the patient correctly, and send appointment updates.

Step 2

Select Appointment

Service *

I confirm that the details I entered are accurate, and I agree that Tejada Clinic may use them to review, confirm, and contact me about this appointment request.