Request Care

Request care

Tell us who needs care, where they are and what is happening. Our team will contact you to confirm whether we can help, the arrangements and the expected fee.

Need a prompt response? Call 876-338-2411.

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This form is for requesting care

This form is for requesting care and is not monitored as an emergency-response channel. For urgent concerns, call +1 876 338 2411. For a suspected life-threatening emergency, seek emergency medical assistance immediately. Do not wait for an online request, email or WhatsApp reply.

All fields are required unless marked optional.

How would you like care?

Care format Every request is reviewed for suitability and availability. This is not an instant booking.

Who is this care for?

Are you requesting care for yourself or someone else?

Patient details

The person who needs care.

Patient’s first name

Patient’s last name

Patient’s date of birth Together with the name, this lets us check whether the patient is already registered with us, so a returning patient is not asked to register again.

Telephone or WhatsApp number

Email address optional

Tell us the concern and how to reach you. Our team will advise on the appropriate care format before agreeing any service, appointment or fee.

What is happening?

Briefly tell us why you need care Please share only the details needed to understand your request. Do not include identification documents, payment-card details or unrelated medical records.

How soon do you need to be seen?

Is this a one-off request or ongoing care?

When would you prefer an appointment?

Preferred date optional

Preferred time or time range optional

Preferred doctor

We will do our best to accommodate your preference. If that doctor is unavailable, we may offer another available doctor. All times are Jamaica time.

Preferred way to arrange your appointment optional Use your own contact details above if you are arranging care for someone else. Email is optional; you can request care with a telephone number alone. Tell us about a shared or unsafe contact in the additional information.

Anything else we should know?

Additional information optional You may also tell us the safest way or time to contact you.

Your privacy

We use the details you provide, including relevant health information, to review your request, contact you and arrange appropriate care. Information may be shared with authorised team members, clinicians and service providers where needed for these purposes.

Please share only what is necessary. If you are requesting care for someone else, you must have their permission or appropriate legal authority.

Read our Request Care Privacy Notice (opens in a new tab) for details about sharing, retention and your rights. Submitting this form does not subscribe you to marketing. Consent for the form is separate from clinical consent to an online consultation.

Your appointment is not confirmed by this form

Submitting this form sends a request. We will contact you to confirm availability, suitability and the expected fee. If you need a prompt response, please call +1 876 338 2411.

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Your care request has been received

Our team will contact you to confirm suitability, availability and the expected fee. Your appointment is not confirmed until you hear from us.

If the situation changes or becomes urgent, please call us directly.

Call 876-338-2411 Back to Home

What happens next

From request to care

Review your request

We clarify what you need and whether a home visit or online consultation is suitable.

Confirm the arrangements

We agree the availability, the location and the expected fee.

Prepare for your appointment

We explain anything you need to do or expect beforehand.

Prefer to speak with someone? Call or WhatsApp and we will take the details directly.

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