Inquiry

For information about medical procedures or general inquiries, please use the form below to contact the hospital or one of our local referral offices. Currently we have referral offices in 18 countries to help you at no additional charge.

Should you have an urgent matter or require an immediate response, please call the hospital at +66 2066 8888.


Medical Inquiry Information
  (*) required information
* : *
Type of Inquiry* : Please select type of inquiry
Name of Doctor* : Please select doctor's name
Procedure of Interest* : Please select procedure of interest
I Inquire for*:
Patient Information
First Name : (As shown in your passport/ID card)
Last Name :
Date of Birth* : Invalid date
Gender* :
Country of Residence*: *
Nationality:
Visited Bumrungrad before? :
Hospital Number :
Patient Health Information
Please describe present diagnosis, medical history, or health condition. * : Please describe
Attach File
(Accepted file formats: pdf, doc, jpg | Total limit 8 mb in size)
Have you selected a doctor at Bumrungrad?* :
Doctor Name* : - Please Enter Doctor Name
Your Question*: *

My Personal Information
Email* : - Please enter your email - Email format is invalid
Retype Email* : - Please retype your email - Email and retyped email do not match
First Name* : - Please enter your first name (As shown in your passport/ID card)
Last Name* : - Please enter your last name
Date of Birth* :    Invalid date
Gender* : Please select gender
Country of Residence* : * Please select country
Nationality :
Visited Bumrungrad before?
Hospital Number
Mobile Phone :   (including country code)

Travel Plan
Do you need us to help you to book for hotel accommodation? See hotels granted corporate rate for Bumrungrad Hospital.
Price Ranges of Room(s)




Terms of Use
By submitting this inquiry form, I agree that
  • Any dispute or claim (including injury claims) related to health care services received from Bumrungrad International that is not resolved by mutual agreement is subject to Thai law and the exclusive jurisdiction of the appropriate court in Thailand.
  • The information or any related detail including an estimated price is intended only for the person making the inquiry and cannot be claimed or referred to by other people.
  • The medical information and any estimated costs supplied are subject to change without notice due to a change of medical condition or unforeseen factors.
Please read the terms of use and click "I agree to the terms" to continue.
Response Time: During this time, Bumrungrad will reply within 48 hours. Pricing requests may take longer depending on doctor availability and case complexity.

Trouble with this page? Click on the button below to send to webmaster.