INFORMATION FOR PHYSICIAN'S OFFICE
The following information is required by physician practice offices in order to schedule an appointment:
Name
Gender
Nationality
Date of birth dd mm yyyy
Contact number Home :    Mobile :
Address
Email
Subject
To make an appointment for a treatment
1) Major complaints or symptoms
2) For how long have you had that symptom?
3) Do you have MRI or CT or X-ray films? If yes, please bring them with you.
4) Do you prefer any doctor in Jaseng you want to see?
5) Time & date of visit
hh dd mm yyyy


To make an inquiry
Any kind of your inquiry will be answered with courtesy.
How did you get to know about Jaseng hospital?
For further information, please call at 02-3218-2167 or 02-3218-2105. English or Japanese speaking assistants will be attending.

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