Appointment

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Appointment

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appointment
Appointments can be made in person and also via telephone, fax, or e-mail for the convenience of patients. Answers to your Appointment will be sent to your e-mail address, so make sure to give us a correct e-mail address.
Registration form
Patient's Name
(Family name/Given name/Middle name)
Gender      
Birthday(mm,dd,yyyy) ex)12/25/1997
Nationality(Homeland)
Languages(Spoken & Understood)
Permanent Address Permanent Address :
Street :
City :
State / Province / Territory :
Country :
Postal coe / Zip code :
Contact Number Telephone Number :
Mobile Number :
E-mail :
Fax Number :
Emergency Contact Name and Title :
Relationship to the patient :
Telephone Number :
Referring M.D. Name &Title :
Office Telephone Number :
Mobile phone Number :
Medical Medical doctors required
Remarks
Payment Method               
    Other :

* This service is provided to foreigners who are with or without Korean goverment health insurance.

Contact
  • Tel : 82-54-840-0529 / Fax : 82-54-840-1254
  • E-mail : andonghospital@gmail.com