Data Privacy

In compliance with the Data Privacy Act of 2012, Makati Life Medical Center ensures that the information you provide will be kept strictly confidential and will only be processed, disclosed, or shared with your consent. By completing and submitting this form, you agree to the processing of your data in accordance with Makati Life Medical Center Patient Privacy Policy. To secure your slot, kindly fill out this form.

Takes about 5 minutes

Let's start with your basic information.

Please fill required field
Please fill required field
Please fill required field
❗Please fill required field
❗Please fill required field
Please fill required field
Please fill required field

Admission Details

❗Please fill required field
❗Please fill required field

ROOM CATEGORIES

️✅Ward Rooms (3-bed, 4-bed. 5-bed): 49 sqm.

️✅Private Room Categories (Small, Regular and Large): 25 sqm.

️✅Suite Room Categories (Regular, Deluxe, Executive): 40-80 sqm.

️✅Premium Suite Room Categories (Ambassador and Presidential) - Coming Soon! 90 sqm.

ROOM FEATURES

️✅RFID - powered doors

️✅All rooms are quipped with IPTV

️✅ASCOM Teliigence Nurse Call System

️✅All Automatic and Smart Bads (Hillrom)

️✅Wifi-connected Floors

ROOM FEATURES

️✅In-house Dietary managed by and Executive Chef

️✅Premium Admission Kits

Please enter a valid email.
Please enter a valid email.
Please fill required field
Please enter a valid email.

Your Information Summary.

Your Details
First Name
-
Last Name
-
Middle Name
-
Date of Birth
-
Contact email
-
Phone
-
Residential Address
-
Admission Details
Attending Physician
-
Date of Availment
-
Preferred Room Type
-
Charge Account
-
Diagnosis
-
Yellow Card Details
-
Provider
-
HMO / Insurance Details
-
Request Sent!
Our team will reach out to you within 24 hours!
Oops! Something went wrong while submitting the form.