Medical Booking Application

Complete all fields below to book your medical examination. All fields are required.

Booking Fee: KES 1,350

Personal Information

Full Name (as per conduct certificate) *

Date of Birth *

Age

Passport Number *

National ID Number *

Contact Information

Email Address *

Phone Number *

+254

Employment Details

Job Role *

Country Travelling To *

Terms & Payment

I confirm that all information provided is accurate and complete. I agree to the terms and conditions and understand that the booking fee is non-refundable.

Payment Summary

Medical Examination Fee: KES 1,350

Total Amount: KES 1,350

Examination Clinic

Greenlife Diagnostics Health Centre

Portal Place House, 1st Floor, Muindi Mbingu Street

Phone: +254736769971

Open: Monday to Saturday, 8:00 AM - 5:00 PM

Location map will be included in your confirmation PDF

Medical Booking Application

Payment Summary

Examination Clinic

Greenlife Diagnostics Health Centre

Complete Payment