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Appointments

Please complete the form below to schedule an appointment with Khon Kaen Ram Hospital. Our staff will contact you within 24 hours to confirm your appointment based on physician availability.

Appointment Information
Request physician recommendation
I will select a physician
Note: Please schedule at least 24 hours in advance. This schedule is based on physician availability and may be subject to change. Your appointment will be confirmed once our staff contacts you.
Chief Complaint / Reason for Visit
Patient Information
First Name
Last Name
Date of Birth
Sex
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Female
Nationality
Province
Email Address
Confirm Email Address
Contact Number
Have you been treated at our hospital before?
Payment Method / Insurance Coverage
(Select all that apply)
Self-Pay
Government Employee Benefits
Private Insurance
Corporate Partner / Direct Billing
Other Third-Party Payer
I accept the Terms and Conditions
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043-002-002

043-239-000
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Khonkaen ram hospital
193 srichan road muang khonkaen
40000
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