Do you need to see a medical professional about a health problem at Kasemrad Hospital Prachachuen, Bangkok, Thailand? You can request an appointment right here by giving us just a little information. You will then be notified by one of our schedulers.

Step 1
Select where you want your appointment:

Medical Centres & Clinics:


Yes, I have been a patient at this clinic before
No, this will be my first time to the clinic

Step 2
Select our specialist you would like to see:

Physicians:

Step 3
Enter the following personal information. When you are finished, click the "Send Request" button to submit your request. You will then receive an e-mail message from the scheduler to complete the process. Fields with an asterisk (*) are required.

First Name: *
Middle Name:
Surname: *
Address: *
City: *
Country: *
Postal Code: *
Home Phone:
(xxx) xxx-xxxx (Include Country Code and City Code)
Work Phone:
(xxx) xxx-xxxx (Include Country Code and City Code)
Mobile Phone:
(xxx) xxx-xxxx (Include Country Code and City Code)
E-mail Address: *
Date of Birth: mm/dd/yyyy
Gender: *
Requested
Date & Time: 		*
Reason for
Appointment:
 

 

  
     
     
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