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By completing this form, I authorise Northern Heart Hospital (NHH) and its representatives or agents to collect, use, and disclose my personal data for medical treatment and related purposes as outlined in the NHH Personal Notice. I confirm that all information provided is accurate and up-to-date, and I will promptly inform Northern Heart Hospital of any changes to my personal data. I understand that I can withdraw this consent at any time by contacting Northern Heart Hospital info@nhearthospital.com.

Please be aware:
Your requested appointment date and time are subject to availability. We will confirm your appointment within one business day of receiving your request.
In case of an emergency, please call our emergency hotline at +604 217 5555 or proceed directly to our 24-hour Emergency Department.