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
Complete the form(s) and fax to +66 (0)2 667 1214.
New patient registration form (79Kb)
- download, print and use this form.
Other forms, such as the Health/Family Health History form and the General Consent form will be filled out at the hospital.
They allow general consent for the Hospital and your chosen Doctor to treat you.