Molly Specialist Hospital -New Patient Registration

NEW PATIENT

We welcome new patients to our facility. We have a commitment to give you patient-centred health care experience. Feel free to take the tour using our web resources and do not forget to take the first step by filling the New Patient Registration. Click here to fill the Form.

VISITING TIME FOR VISITORS

7:30a.m. - 8:00a.m.
1:00p.m. - 1:30p.m. and
6:00p.m. - 7:00p.m. daily.

NEW PATIENT PRE-REGISTRATION

Please fill the form below, print out the Pre-registration Confirmation Page and take the print-out to our Records Department to complete your registration. Please, ensure you call our Patients Service Manager on +234 815 997 7806 for further details on other registration requirements before you present at the hospital.

Surname Other Names Home Address Telephone Number Email address Place of Birth Date of Birth State of Origin Occupation Religion
Christianity Islam Other Next of Kin Address of Next of Kin Telephone Number of Next of Kin

Send copy to email you entered above?

Pre-registration Confirmation Page

Please print this page and take it to the Records Department to complete your registration. Please call the Patients Service Manager on +234 815 997 7806 for further details on other registration requirements.