Contact Us Home > About Us > Contact Us Inquiry Contact Information Map & Locations Follow us Feedback & Suggestion Inquiry Inquiry Inquiry Form – EN "*" indicates required fields Step 1 of 2 50% 1 Inquiry Details2 Patient InfoInquiry for*Please Select InquiryGeneral InquiryEstimated CostContact My Doctor at Bangkok Hospital PattayaOtherCondition or treatment of interest Medical Inquiry or Consultation* 1 Inquiry Details2 Patient InfoPatient Name* Patient Last Name* Date of Birth* DD slash MM slash YYYY Gender*—Please Select—MaleFemaleNationality— Please select Nationality —AfghanAlbanianAlgerianAmericanAndorranAngolanAnguillanArgentineArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBelarusianBelgianBelizeanBenineseBermudianBhutaneseBolivianBotswananBrazilianBritishBritish Virgin IslanderBruneianBulgarianBurkinanBurmeseBurundianCambodianCameroonianCanadianCape VerdeanCayman IslanderCentral AfricanChadianChileanChineseCitizen of Antigua and BarbudaCitizen of Bosnia and HerzegovinaCitizen of Guinea-BissauCitizen of KiribatiCitizen of SeychellesCitizen of the Dominican RepublicCitizen of VanuatuColombianComoranCongolese (Congo)Congolese (DRC)Cook IslanderCosta RicanCroatianCubanCymraesCymroCypriotCzechDanishDjiboutianDominicanDutchEast TimoreseEcuadoreanEgyptianEmiratiEnglishEquatorial GuineanEritreanEstonianEthiopianFaroeseFijianFilipinoFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGibraltarianGreekGreenlandicGrenadianGuamanianGuatemalanGuineanGuyaneseHaitianHonduranHong KongerHungarianIcelandicIndianIndonesianIranianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhKenyanKittitianKosovanKuwaitiKyrgyzLaoLatvianLebaneseLiberianLibyanLiechtenstein citizenLithuanianLuxembourgerMacaneseMacedonianMalagasyMalawianMalaysianMaldivianMalianMalteseMarshalleseMartiniquaisMauritanianMauritianMexicanMicronesianMoldovanMonegasqueMongolianMontenegrinMontserratianMoroccanMosothoMozambicanNamibianNauruanNepaleseNew ZealanderNicaraguanNigerianNigerienNiueanNorth KoreanNorthern IrishNorwegianOmaniPakistaniPalauanPalestinianPanamanianPapua New GuineanParaguayanPeruvianPitcairn IslanderPolishPortuguesePrydeinigPuerto RicanQatariRomanianRussianRwandanSalvadoreanSammarineseSamoanSao TomeanSaudi ArabianScottishSenegaleseSerbianSierra LeoneanSingaporeanSlovakSlovenianSolomon IslanderSomaliSouth AfricanSouth KoreanSouth SudaneseSpanishSri LankanSt HelenianSt LucianStatelessSudaneseSurinameseSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTonganTrinidadianTristanianTunisianTurkishTurkmenTurks and Caicos IslanderTuvaluanUgandanUkrainianUruguayanUzbekVatican citizenVenezuelanVietnameseVincentianWallisianWelshYemeniZambianZimbabweanPhone Number*Email* Existing Patient* Yes No Hospital Number (HN) Attach FileMax. file size: 512 MB.* I acknowledge and give my consent to collect, use, process and disclose information in accordance with the Privacy Policy. I here by acknowledge and consent the Hospital to send information about products, services, advertisements, or promotional programs that will benefit me via all channels I have given to the Hospital.* Accept Decline Contact Information Contact Information Bangkok Hospital Pattaya 301 Moo 6 Sukhumvit Road, Km. 143, Banglamung, Chonburi, Thailand 20150 Contact Center is available 24 hours. +66 38259986 1719 Email [email protected] Emergency Call +66 3825 9911 Fax +66 3825 9990 Overseas +66 38259986 Map & Locations Map & Locations See More Maps and Directions >> Follow us Follow us Facebook Instagram Twitter Youtube Line OA TikTok Feedback & Suggestion Feedback & Suggestion Feedback & Suggestion- EN "*" indicates required fields Name* First name* Last name* Phone Number*Email* Message I acknowledge and give my consent to collect, use, process and disclose information in accordance with the Privacy Policy. I hereby acknowledge and consent the Hospital to send information about products, services, advertisements, or promotional programs that will benefit me via all channels I have given to the Hospital. Accept Decline
