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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