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CompuMed Panelship Application Form
Please fix the following errors:
Please be informed that there will be one-time, non-refundable onboarding fee of Ringgit Malaysia Five Thousand Only (RM 5,000.00) for all clinics onboarding with CompuMed. This fee is strictly non-refundable under any circumstances. The onboarding fee shall be charged upfront and must be remitted in full prior to the activation on the panelship.
Contact Details
Health Provider Name
Group Name
-- Select --
ALAM MEDIC GROUP
AMAN GROUP (QMG (EQUITY)
ASIA ONEHEALTHCARE GROUP
AVISENA HEALTHCARE GROUP
BLOOM DENTAL
CARECLINIC HEALTHCARE SERVICES GROUP
CARECLINICS HEALTHCARE SERVICES SDN. BHD.
DR LEELA RATOS DAN RAKAN RAKAN GROUP
DVA (MALAYSIA) SDN BHD
FAMILI GROUP
FAMILY CARE CLINIC
HARMONI GROUP
H CLINIC GROUP
HIBARI CLINIC GROUP
HS MEDICLINIC & SURGERI GROUP
IHH HEALTHCARE GROUP
IMEDICARE GROUP
KELINIK NG SENDIRIAN GROUP
KLINIK ADHAM GROUP
KLINIK AHMAD SHAH GROUP
KLINIK AMAR GROUP
KLINIK ANDA GROUP
KLINIK ARA GROUP
KLINIK ASIA GROUP
KLINIK AS SALAM GROUP
KLINIK AURORA GROUP
KLINIK AZHAR GROUP
KLINIK AZZAHRA GROUP
KLINIK BAHARUDIN GROUP
KLINIK BAIDURI GROUP
KLINIK BAKTI GROUP
KLINIK BALA GROUP
KLINIK BANDARAN GROUP
KLINIK BERSATU GROUP
KLINIK BUKIT GROUP
KLINIK BUTIZA GROUP
KLINIK CARECLINICS GROUP
KLINIK CARING GROUP
KLINIK CENTRAL GROUP
KLINIK CHAI GROUP
KLINIK CHEW GROUP
KLINIK CINTA SAYANG GROUP
KLINIK DADDY GROUP
KLINIK DAMAI GROUP
KLINIK DAN SURGERI GROUP
KLINIK DAYANG GROUP
KLINIK DESARIA GROUP
KLINIK DHARAN GROUP
KLINIK DR ALYNA GROUP
KLINIK DR. AMAN GROUP
KLINIK DR AZIZAH GROUP
KLINIK DR FAUZIAH GROUP
KLINIK DR JAAFAR GROUP
KLINIK DR NAJIHAH GROUP
KLINIK DR NAJWA GROUP
KLINIK DR PREVENTS GROUP
KLINIK DR ROSLI GROUP
KLINIK DRS YOUNG NEWTON SDN BHD GROUP
KLINIK ECO MEDIC GROUP
KLINIK FAIZAL & RAKAN-RAKAN GROUP
KLINIK FAMILYCARE GROUP
KLINIK FARIDAH GROUP
KLINIK FAUZIAH DAN RAKAN-RAKAN GROUP
KLINIK FUZIAH GROUP
KLINIK HAYAT GROUP
KLINIK HAZRA MEDIC GROUP
KLINIK HIDAYAH GROUP
KLINIK HUMAIRA GROUP
KLINIK IBUKOTA GROUP
KLINIK I-CARE GROUP
KLINIK ICON GROUP
KLINIK IDDRUS GROUP
KLINIK IDZHAM GROUP
KLINIK IHSAN GROUP
KLINIK IKHTIAR GROUP
KLINIK IKRAM GROUP
KLINIK IMAN GROUP
KLINIK IMANI GROUP
KLINIK I-MEDIC GROUP
KLINIK IMPIAN GROUP
KLINIK INTER-MED GROUP
KLINIK JOHOR GROUP
KLINIK KELUARGA GROUP
KLINIK KHALIFAH GROUP
KLINIK KITA SDN BHD GROUP
KLINIK KOTARAYA GROUP
KLINIK KRISHNA GROUP
KLINIK LAM GROUP
KLINIK LEE GROUP
KLINIK LIM GROUP
KLINIK L'MEDINA GROUP
KLINIK LOW GROUP
KLINIK MAAMOR GROUP
KLINIK MADANI GROUP
KLINIK MAIMUNAH DAN RAKAN-RAKAN GROUP
KLINIK MALAYSIA GROUP
KLINIK MAWAR DAN PEMBEDAHAN GROUP
KLINIK MEDIC 360 GROUP
KLINIK MEDICARE GROUP
KLINIK MEDICENTRAL GROUP
KLINIK MEDIJAYA GROUP
KLINIK MEDIK JAYA GROUP
KLINIK MEDILINK GROUP
KLINIK MEDINA GROUP
KLINIK MEDIONE GROUP
KLINIK MEDI PESONA GROUP
KLINIK MEDI RAKYAT GROUP
KLINIK MEDISINA GROUP
KLINIK MEDISINAR GROUP
KLINIK MEGA GROUP
KLINIK MESRA GROUP
KLINIK MESRA JAYA GROUP
KLINIK METROCARE GROUP
KLINIK METRO GROUP
KLINIK METROMEDIC GROUP
KLINIK MEWAH GROUP
KLINIK MURNI GROUP
KLINIK MUTIARA GROUP
KLINIK MYCARE GROUP
KLINIK NABILAH GROUP
KLINIK NEUMEDIK GROUP
KLINIK NG DAN SINGH GROUP
KLINIK NG POH HUAT GROUP
KLINIK NIK ISAHAK GROUP
KLINIK NOOR HAJAR GROUP
KLINIK NOVA GROUP
KLINIK OASIS GROUP
KLINIK PEMBANGUNAN GROUP
KLINIK PERDANA GROUP
KLINIK PERTAMA GROUP
KLINIK PERUBATAN GROUP
KLINIK PERUBATAN HIJRAA GROUP
KLINIK PERUBATAN LITA ALIS GROUP
KLINIK PERUBATAN RAUDHAH GROUP
KLINIK PERUBATAN THE PEARL GROUP
KLINIK PERUBATAN WILDAN GROUP
KLINIK PMC GROUP
KLINIK PRIMAMEDIK GROUP
KLINIK PRIMER GROUP
KLINIK PUSRAWI GROUP
KLINIK PUTIH GROUP
KLINIK PUTRA GROUP
KLINIK PUTRAMEDIC GROUP
KLINIK RADHA GROUP
KLINIK RAJ GROUP
KLINIK RAKYAT GROUP
KLINIK REDDY GROUP
KLINIK REMEDIC GROUP
KLINIK SAFWA GROUP
KLINIK SINGAPORE GROUP
KLINIK UNION GROUP
KLINIK VISTA MEDIK GROUP
KLINIK YAP AND PARTNERS GROUP
KMI HEALTHCARE GROUP
KPJ HEALTHCARE GROUP
KUMPULAN CITY GROUP
LS FAMILY CLINIC GROUP
MedCare Healthcare Services
MEDIPULIH KLINIK GROUP
MEDISINAR KLINIK & SURGERI GROUP
MEDIVIRON GROUP
MEGAKLINIK ZAHRAN GROUP
MENARA GROUP
MM CARE GROUP
MY HEALTH CLINIC
NAWRA HEALTH GROUP
PERMAI POLYCLINICS GROUP
POLIKLINIK AN-NISA GROUP
POLIKLINIK AR RAZI GROUP
POLIKLINIK BAKTI GROUP
POLIKLINIK BANDAR GROUP
POLIKLINIK BESTARI GROUP
POLIKLINIK CHU GROUP
POLIKLINIK DAMAI GROUP
POLIKLINIK DINAR GROUP
POLIKLINIK DR AZHAR DAN RAKAN-RAKAN GROUP
POLIKLINIK GOMEZ GROUP
POLIKLINIK GUNWANT GROUP
POLIKLINIK HIDAYAH GROUP
POLIKLINIK IBNU SINA GROUP
POLIKLINIK IDEAL GROUP
POLIKLINIK IKHSAN GROUP
POLIKLINIK KOTA GROUP
POLIKLINIK LOURDES GROUP
POLIKLINIK LUDHER BHULLAR DAN RAKAN RAKAN GROUP
POLIKLINIK MAKMUR GROUP
POLIKLINIK MEDI IHSAN GROUP
POLIKLINIK MEDIPRIMA GROUP
POLIKLINIK MUC GROUP
POLIKLINIK NUR FATIMAH GROUP
POLIKLINIK PENAWAR GROUP
POLIKLINIK PERDANA GROUP
POLIKLINIK PERTAMA GROUP
POLIKLINIK ROZIKIN GROUP
POLIKLINIK SEREMBAN GROUP
POLIKLINIK SHAIK GROUP
POLIKLINIK STAR GROUP
POLIKLINIK SYIFA & SURGERI GROUP
POLIKLINIK UKM KESIHATAN GROUP
POLIKLINIK UTAMA GROUP
POLYCLINIC GY GROUP
POLYCLINIC HEALTHCARE AND SURGERY GROUP
POLYCLINIC MY FAMILY GROUP
PRIMER CHERANG CLINIC GROUPS
PUBLIC MEDICARE GROUP
QMG (AFFILIATE)
QMG (EQUITY)
RANJIT AND SIDHU GROUP
SALAM HOSPITAL GROUP
SELCARE CLINIC GROUP
SHAM POLIKLINIK GROUP
SITI HEALTHCARE SDN BHD
SUNWAY HEALTHCARE GROUP
THE KL CLINIC GROUP
TOPVISION EYE SPECIALIST BHD
U.N.I GROUP
Provider Type
-- Select --
Dental
Hospital
Optical
Outpatient GP
Outpatient Specialist
Pharmacy
Physiotherapy Centre
Vendor
Claim Type
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Doctor Name
Phone
Fax
Email
Address Details
Address1
Address2
Address3/Township
Postcode
City
State
-- Select --
Johor Darul Takzim
Kedah Darul Aman
Kelantan Darul Naim
Melaka
Negeri Sembilan Darul Khusus
Pahang Darul Makmur
Perak Darul Ridzuan
Perlis Indera Kayangan
Pulau Pinang
Sabah
Sarawak
Selangor Darul Ehsan
Terengganu Darul Iman
Wilayah Persekutuan Kuala Lumpur
Wilayah Persekutuan Labuan
Wilayah Persekutuan Putrajaya
District
-- Select --
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Required Documents
Picture of Entrance
Picture of Reception
Picture of Waiting room
Picture of Consultation room
Picture from Street view with signboard
Important Notes
Please provide accurate information
Please provide decent quality pictures
Email address will be used as primary correspondence channel
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