Thailand Medical Agency
Thailand Medical Agency
Let us connect you with the best specialist team in Thailand and manage the accommodation living
and sightseeing vacation to make you feel convenient and relax during the treatment time.
Contact Us
Requirement Form
Thailand Medical Agency
Sathorn Rd., Bangkok,
Thailand 10120
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For medical and travel requirement, please send us the informations as the form below:
1. Full Name:
2. Age:
3. Nationality:
4. Preferred date and time for treatment:
5. Present Problem (please describe the symptom):
6. What kind treatment or what procedure you are looking for ? :
7. What is your expected outcome ? :
8. What kind of accommodation living or hotel you would prefer ? :
(eg. 3 stars, 5 stars, save cost apartment, Luxury hotel, River view residence)
Please fill your informations then copy and put in the massage box below;