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I'm a Healthcare Professional
I'm a Patient / Public
ℹ️  This form is for healthcare professionals only. For patient self-referrals or appointment bookings, please use our → appointment page.

    1

    Referring Doctor / Clinic Details

    2

    Patient Details

    3

    Preferred Branch

    Woodlands
    12 Woodlands Square #13-73, Tower 1, Singapore 737715
    4

    Services Requested (tick all that apply)

    Hearing Assessment
    Hearing Aids & Tinnitus
    Implants
    Ear Protection & Custom Moulds
    Others
    5

    Clinical Notes & Reason for Referral (optional but helpful)

    6

    Doctor's Stamp and/or Signature (optional for digital submission)

    What happens next? Our team will contact the patient within 1 working day to schedule an appointment. A copy of this referral will be emailed to you for your records.

      1

      Your Details

      Myself
      A family member
      2

      What Do You Need? (select all that apply)

      Who is it for?
      Adult
      Child
      Custom Earplugs
      Which type?
      Hearing Aid Repair
      Which brand? (if known)
      Hearing Aid Purchase
      Any brand preference? (optional)
      Cochlear Implant Mapping
      Ear Wax Removal
      Driving Licence Hearing Assessment
      Home Visit
      For which service?
      3

      Scheduling Preference

      We'll get back to you within 1 working day.

      Hearing Solutions for A Life in Full Volume.

      Deepak & Sen Kee are experienced audiologists in Singapore with over 20 years of combined expertise, specialising in hearing tests and hearing loss treatment for children, adults and the elderly.
      WhatsApp: +65 8044 9632
      Call Us: +65 6859 1220
      Email: info@dsaudiology.sg
      Deepak D’Souza
      Ho Sen Kee
      This article has been reviewed and endorsed by Deepak & Sen Kee

      Woods Square Tower 1

      12 Woodlands Square, #13-73 Woods Square Tower 1, Singapore 737715

      MRT NS9 Woodlands
      BUS Woodlands Bus Interchange & Woodlands Civic Centre

      Operation hour

      Mon – Fri 10AM – 6.30PM
      *Closed for Lunch from 1pm - 2pm
      Sat 10AM – 1PM
      Sun & PH Closed

      Installment payment plan up to 12months with OCBC credit cards

      Operation hour

      Mon – Fri 10AM – 6.30PM
      Sat 10AM – 1PM
      Sun & PH Closed

      Note: Tourists in Singapore may claim a refund of the 9% GST paid on hearing aid or cochlear implant purchases exceeding S$100 (including GST).
      We look forward to help restore sound to your world!

      LET’S GET IN TOUCH

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