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medicalconciergemy@gmail.com
+6011-3622 8862
Membership Registration
First name
*
Last name
*
Identification Number (IC No.)
*
Email
*
Phone
*
Address
*
Which of the following best describes your current qualification for membership?
*
Option A: I am a registered Healthcare Professional (e.g., Doctor, Nurse, Allied Health).
Option B: I have completed the "Certificate in Medical Concierge for Outpatient Setting."
Neither (Please check our page about how to get certified).
(Option A only) Professional Category
(Option A only) Registration Number
(Option A only) Place of Practice
(Option B only) MMCS Registration Number
Membership Application
*
Ordinary Member (RM 100 Registration + RM50 per year)
Lifetime Member (RM 100 Registration + RM450 lifetime)
How did you hear about us?
*
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