Pre-registration for Manarom Hospital

Manarom Hospital has set up an on-line pre-registration to speed up new patient's registration process. You can choose to receive the registration form by downloading the form from this website or by fax. Please select the method most convenient to you.

Method No.1 : Download the pre- registration form

    1.1) Download the registration form
    1.2) Fill in the form
    1.3) On the date of your appointment , please give the completed form and the following document(s) to our registration officer.

    - For Adult : Identity card or Government service Identity card
    - For Child and Adolescents : Birth certificate or Identity card



Method No.2 : Requesting for the pre-registration form by fax

    2.1) Please enter your fax number and the form will be faxed to you within 24 hours.
    2.2) Fill in the form
    2.3) On the date of your appointment , please give the completed form and the following document(s) to our registration officer.

    - For Adult: Identity card or Government service Identity card
    - For Child and Adolescents: Birth certificate or Identity card

    *** Please contact our registration department at +66 2 725 9595 +66 2 725 9592 if you do not receive our pre-registration form after 24 hours .

Download the registration form
please give the completed form and the following document(s) to our registration officer.

Download

OR

Please enter your fax number
and the form will be faxed to you within 24 hours.

Send

OR

Please enter your Telephone number
and will be call to you within 24 hours.

Send

Mental Health Services

Mental Health Services