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Attachment No. 9
Each Medical Care Public Company LimitedPROXY FORM B (SPECIFIC DETAILS FORM)
According to Regulation of Department of Business Development
Re: Form of Proxy (No. 5) B.E. 2550Duty
Stamp
20BahtWritten
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How to fill out patient inquiry formekachai hospital
How to fill out patient inquiry formekachai hospital
01
To fill out the patient inquiry form at Ekachai Hospital, follow these steps:
02
Visit the official website of Ekachai Hospital.
03
Locate the 'Patient Inquiry Form' section.
04
Click on the 'Patient Inquiry Form' link.
05
Provide your personal information, such as name, contact details, and address.
06
Answer the questions related to your medical condition and reason for inquiry.
07
Double-check all the provided information for accuracy.
08
Submit the form by clicking on the 'Submit' button.
09
Wait for a response from Ekachai Hospital regarding your inquiry.
Who needs patient inquiry formekachai hospital?
01
Anyone who wishes to inquire about their medical condition or seek information about Ekachai Hospital's services can fill out the patient inquiry form.
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What is patient inquiry formekachai hospital?
The patient inquiry form at Ekachai Hospital is a document used to collect information from patients seeking assistance or clarification regarding their medical treatment or hospital services.
Who is required to file patient inquiry formekachai hospital?
Patients or their guardians are required to file the patient inquiry form if they have questions or concerns about their treatment or services received at Ekachai Hospital.
How to fill out patient inquiry formekachai hospital?
To fill out the patient inquiry form, individuals should provide their personal information, details regarding their inquiry or concern, and any relevant medical information that may assist the staff in addressing their concern.
What is the purpose of patient inquiry formekachai hospital?
The purpose of the patient inquiry form is to ensure that patient concerns are documented and addressed promptly, facilitating better communication between patients and hospital staff.
What information must be reported on patient inquiry formekachai hospital?
The form must include the patient's name, contact information, details of the inquiry or issue, and any relevant medical records or history if applicable.
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