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Forms
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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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