Appointment | Bangkok Hospital Phuket – International Hospitals in Thailand

Preventive MedicineMedicine

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Time
Preferred date and time option 2
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Your Medical Problem or Symptoms*
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Patient Information*
First Last name
Date Of Birth*
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Gender
Have you been our patient before?*
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HN Number (if remembered)
Nationality
Passport Number
Email*
Phone
Please note that this is not a confirmation of your appointment. The confirmation will be sent to your email within 24 hours.
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Comprehensive Cancer Care
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- false
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Confirm
- Please note that this is not a confirmation of your appointment. The confirmation will be sent to your email within 24 hours.
I voluntarily agree to allow the healthcare staff at the hospital to provide care, treatment and procedure according to the standard of practice. I also agree to the healthcare staff access my health information in regard to the provided care, treatment and procedure. I acknowledge and understand that I have been informed about Declaration of Patient's Rights and Privacy Policy