· Home > International Health Service > 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.
 
Patient's Name
(Family name/Given name/Middle name)
Gender Male Female
Birthday(mm,dd,yyyy) ex)12/25/1997
 
Nationality(Homeland)
Passport Number
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
Cash Visa Master card
Other :
 
This service is provided to foreigners who are with or without Korean goverment health insurance.
 
 
Phone : 032-890-3200 (09:00~16:00)     +82-32-890-3200
Fax : 032-890-2094
E-mail :hyungji25@hotmail.com