Appointment | Bangkok Hospital Phuket – International Hospitals in Thailand

Medicine

Preferred date and time option 1
DD slash MM slash YYYY
Time
Preferred date and time option 2
DD slash MM slash YYYY
Time
Your Medical Problem or Symptoms
Supporting Documents (optional)
Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.
Name*
First Last
Email*
Phone
Date Of Birth
MM slash DD slash YYYY
Gender
Nationality
Passport Number
Please note that this is not a confirmation of your appointment. The confirmation will be sent to your email within 24 hours.