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Your Appointment Information
(
*
) is required
I request an appointment for
*
:
Myself
Friends / Relatives
Preferred Appointment
*
:
Choice
Date
Time
1
st
*
HH
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MM
00
15
30
45
2
nd
HH
07
08
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15
16
17
MM
00
15
30
45
Topic
*
:
Special Request :
E-Mail
*
:
Travel Plan
Arriving in Bangkok
*
:
Length of Stay
*
:
Days
1
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31
>31
Need Accommodation? :
Yes
Term of Use
By submitting this appointment form, I agree that:
1. Making an appointment on this website with a Sanpaulo Hua-Hin hospital physician is for scheduling only. Sanpaulo Hua-Hin hospital, its employees, any physician or clinician with whom an appointment has been made by use of this website has not agreed to provide the undersigned with any medical advice, diagnostic or therapeutic procedure until the undersigned has registered in person at Sanpaulo Hua-Hin hospital.
2. Any dispute or claim (including injury claims) related to health care services received from Sanpaulo Hua-Hin hospital that is not resolved by mutual agreement is subject to Thai law and the exclusive jurisdiction of the appropriate court in Thailand.
Please read the terms of use and click "I agree to the terms" to continue".
I agree to the terms
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