Form Completion

Fill out the Appointment Request form below and provide all the required fields.

Choosing an Appointment Date

When choosing an appointment date, please allow 24 hours lead time from when you are placing the request in order to minimize the risk of it being bumped or rescheduled to a later date.*

For example, if you are placing the request on Monday, December 7, 2020 at 9:00AM, please avoid scheduling for the same day. The earliest you could schedule for is Tuesday, December 8, 2020 at 9:00 AM.

Choosing an Appointment Time

We operate daily from 8:00 AM to 6:00 PM. Please choose only within our operating hours in order to minimize the risk of it being bumped or rescheduled to a later date.*

I.e. Anna chose to schedule her appointment at 6:30 PM. Her request for appointment will proceed, however our account manager will be proposing a new availability within our operating hours either on the same date chosen, if not, on succeeding available dates.

Company Name

Provided that this platform welcomes both our direct and affiliate partners, we kindly ask for you to provide your company name in order to monitor and validate chosen modes of payment, and services.

Group Bookings

When booking for more than one (1) person, please be sure to provide the correct names of the patients, in order for us to validate upon service delivery.

Contact Person and Details

Please provide an active email address and mobile number to whom we can send calendar and email correspondence. This person will also be the main contact person of our team member/s who will be deployed to fulfill the Home Testing Service.

Service Delivery Address

The service delivery address is where the 'Home Testing Service' will be fulfilled. This can either be in a home office, a hotel room or an office address.

Payment Method

MDX Manila accepts Cash on Delivery (COD), online payments (online bank transfer/credit card) and Corporate Billing**