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Below are samples of forms typically used at Bumrungrad Hospital. Some relate to non-medical services while others are required in order to proceed the treatment. Note that the forms will open in a new browser window. They are in PDF format and you will require Adobe Acrobat Reader to view.
Complete the form(s) and fax to +66 (0)2 667 1214.
New patient registration form (79Kb) - download, print and use this form.
History/General Consent Forms
These forms are sample forms only. You will complete these forms at the Hospital, and they allow general consent for the Hospital and your chosen Doctor to treat you.
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