World class healthcare at Olive Multispecialist Hospitals
Request Appointment

Nigerian Residents

If you are having a medical emergency, call 767 or 112 for emergency medical help.

Lekki Center

Telephone: +234-908-600-0083 available 24 hours. Email: info@olivemultispecialist.com Opening Hours: 24 hours.

International Residents

If you are an international resident looking to schedule an appointment, please use the Appointment Request – International form.

Appointment Request Form

kindly fill out the appointment form below and a customer service representative will contact you. All fields are required unless marked optional.

Requester Information

Who is this appointment for?

SelfOther

Patient Information

Please provide patient information as it appears on legal documents.

Have you previously received care at Olive Multi-specialist Hospitals?

YesNoDon't know

First Name

Middle Name

Last Name

Other Name(s) Used

Date of Birth

Address

Phone

Email

Gender

FemaleMale

Parent name/Guardian name

Patient Insurance Information

Does the patient have health insurance?

YesNoDon't know

Medical Concern

What is the primary medical problem or diagnosis for the appointment request?

How long has the patient had this problem?
  

Are there additional medical problems the patient needs assessed during this visit?

Important: After submission, please do not leave this form until you see the confirmation message.

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Olive Multi-specialist Hospitals. Call: +234-908-600-0082, +234-908-600-0083.
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