What forms do I need to fill out?

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.

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.