General Practitioner Affiliate Program | Subang Jaya Medical Centre

Refer a Patient to SJMC

At SJMC, we value the trust general practitioners place in us when referring their patients for specialized care. Our streamlined referral process ensures timely medical attention and seamless coordination between General Practitioners (GPs) and our specialists.

Referral Modes & GP Support

24 Hour Emergencies & Appointments: Call Teleconnect Centre at +603 5639 1818
Call OR WhatsApp via GP Hotline: +019 345 6159 (Monday–Friday, 8:00 AM – 5:00 PM)
Email for GP Assistance & Referrals: sjmc.gp@asia1health.com

How to Refer a Patient?

Download the GP Referral Form → Print → Fill in the details → Email to sjmc.gp@asia1health.com
Submit Online: Fill out the referral form online → Submit

Refer a Patient

At SJMC, we understand that as a general practitioner, your priority is ensuring your patients receive the best possible care. Whether they require specialist treatment, further investigations or hospital admission, our referral process makes it easy for you to connect them with the right healthcare team. You can refer your patients to SJMC through two simple methods:

Download & Email – Download the GP Referral Form, print it, fill in the necessary details, and email it to sjmc.gp@asia1health.com

Download Referral Form

Submit Online – For a faster and paperless process, complete and submit the referral form online using the form below

Our team will review the referral promptly and coordinate the necessary arrangements for your patient’s care.

GP Referral Form

Preferred SJMC Medical Consultant:*

Specialties:*

FROM

GP Doctors Name:*

Clinic Name:*

Clinic Location:*

Clinic's Email: *

Patient’s Name: *

Patient's NRIC/Passport No. *

Patient’s Email: *

Patient’s Mobile Number: *

Clinical History and Physical Findings: *

Results of Procedures / Investigations Performed: *

Remarks/ Others/Further Investigation(s) request (e.g., CXR, MRI, CT, etc)

Patient’s mode of Payment: *

Self-pay

Insurance/ TPA

Bill my clinic (Only for those who have a credit facility with CMC group of hospitals)

Confirmation: *

I hereby allow my personal data to be processed for purposes stated in CMC’s Privacy and Personal Data Protection Policy which is accessible at https://subangjayamedicalcentre.com/privacy-and-pdpa-policy