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Please complete the form below to request an appointment at Bumrungrad International. After you submit the form, a representative will contact you within 72 hours to review your medical information before an appointment may be offered.

Please note: This form cannot be used for medical emergency or scheduling same-day appointment. If you plan to visit us within 24 hours or have a medical emergency, please call +662 667 1555

For new patient, please print and complete the new patient registration form and bring it on your first visit
Please allow javascript and do not use script block extension on your browser to request appointment using this form. Click here to see instructions on how to do this.
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Terms of Use
By submitting this appointment form, I agree that:
  1. Making an appointment on this website with a Bumrungrad International hospital physician is for scheduling only. Bumrungrad International, 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 Bumrungrad International hospital.
  2. For the hotel reservation process, when the customer submit the information for hotel reservation, the information will be sent directly to the hotel chosen by the customer to make reservation which send only the information required to make hotel reservation, no information of customer treatment or diagnosis. However, Bumrungrad International Hospital acts only as a facilitator and a liaison between the customer and hotel. The hospital does not involve, in any way, with the hotel selection process; the consideration process; and is not responsible for the process. Therefore, Bumrungrad International Hospital will not be liable for any damages caused by this hotel reservation process.
  3. 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.
**Clicking on the below button indicates agreement to the Terms of Use specified above.
Response Time: Bumrungrad will reply within 72 hours for Appointment requests during this time.
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Please note

If you plan to visit us within 24 hours or have a medical emergency, please call




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