Raffles Shield Letter of Guarantee (LOG)

Fill up the form below to request for a LOG to waive your hospitalisation deposit.

Procedure To Follow

Please follow the steps below to ensure smooth processing of your LOG application.

Step 1

Get your documents in order.

1. Admission form stating medical diagnosis

2. Financial counselling form with
estimated total charges

3. Attending physician and procedure to be done (if any)

4. Referral letter from general practitioner or specialist (if any)

Step 2

Fill up the form below and attach all supporting documents (max 5 MB).

Request for LOG Form (Raffles Shield)

  • DD slash MM slash YYYY
  • Drop files here or
    Max. file size: 8 MB.
      e.g. medical reports, receipts of invoices (max file size 5 MB)

    CUSTOMER CARE CENTRE CLOSURE NOTICE: Please be informed that our Customer Care Centre located at Raffles Hospital (Level 1) will be closed until further notice. For enquiries related to Raffles Shield or Raffles Elite Care, kindly contact us here or call our Customer Care Hotline at 6286 9988.