Book an appointment Comprehensive Care for All Your Medical, Dental, Eye & Diagnostic Needs Appointment Form - Esperanza Health Plus Personal DetailsAppointment Details Personal DetailsChoose your preferred clinic, appointment date, time, and the type of service you need. This helps us schedule and prepare for your visit.First NameMiddle NameLast NameGender- Select -MaleFemaleOthersPhone no.EmailPreviousNextAppointment DetailsChoose your clinic, date, time, and the service you require. This helps us prepare for your visit.Select Service Location- Select -AccraTakoradiService Required- Select -Medical / OPDDentalEyeScanService Required- Select -DentalScanDate / TimeAny Additional Information Previous Submit Form