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Samitivej Hospital

Samitivej Hospital

～The name Samitivej, and the vision of its founders, have inspired doctors and staff ever since.

Today over 2,000 health professionals, practicing in seven Samitivej hospitals, are treating patients for problems ranging from minor outpatient illnesses to major procedures such as organ transplants.

Featured Services

Samitivej Hospital, established in 1979, aims to provide top-quality medical care by bringing together the best doctors and advanced technology.
The hospital’s holistic approach focuses on patients’ physical and emotional well-being.
Named “Samitivej” meaning “assembly of doctors,” it inspires its dedicated staff.
With seven hospitals and over 2,000 healthcare professionals, Samitivej Hospital offers comprehensive medical services, including major procedures like organ transplants.

Frequently Asked Questions

General Announcements

You can stay informed about general announcements and hospital news by visiting our website’s “News & Announcements” section. We regularly post updates on new services, facility improvements, and other important information.

Insurance and Payment Options

We accept a wide range of insurance plans, including [List of major insurance providers]. However, coverage may vary, so we recommend contacting your insurance provider or our billing department to verify your specific coverage and benefits.

What payment options are available?

We offer various payment options to accommodate different needs. You can make payments using cash, major credit cards, or through electronic fund transfers. Additionally, we provide assistance with insurance claims and offer payment plans for eligible patients. Please contact our billing department for further information.

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We accept a wide range of insurance plans, including [List of major insurance providers]. However, coverage may vary, so we recommend contacting your insurance provider or our billing department to verify your specific coverage and benefits."}},{"@type":"Question","name":"What payment options are available?","acceptedAnswer":{"@type":"Answer","text":"

We offer various payment options to accommodate different needs. You can make payments using cash, major credit cards, or through electronic fund transfers. Additionally, we provide assistance with insurance claims and offer payment plans for eligible patients. Please contact our billing department for further information."}}]}

CONNECT WITH US

TYPE

General

LOCATION

Bangkok

LANGUAGE

TH | EN

POPULARITY

100/100

About the Provider

Overview and Facilities

General Packages

About the Provider

Overview and Facilities

General Packages

Packages

Infertility Treatment Plan and Package3,000 THB
Annual Health Check up Packages3,900 THB
Annual Health Check-up Packages For Men & Women3,900 THB
Annual Health Check-up Packages for Women6,500 – 29,500 THB
Annual Health Check-up Packages for Men6,500 – 23,400 THB
COVID-19 Screening Program – Samitivej Srinakarin3,000 THB
COVID-19 Screening Program with Medical Certificate- Samitivej Srinakarin4,000 THB
Influenza Vaccine for children age 10-15 or adult ( first recipient)(each additional adult recipient)900 THB
Pneumococcal Vaccine (Prevnar 13) – 1 dose3,699 THB
Pneumococcal Vaccine (Prevnar 13) – 2 doses7,100 THB
Pneumococcal Vaccine (Pneumovax 23)3,000 THB
Tdap Vaccine (Tetanus, Diphtheria and Pertussis) and Influenza Vaccine2,400 THB
Package of Two Hepatitis A Vaccines5,200
Package of Three Hepatitis B Vaccines3,000 THB
Shingles Vaccine [for adult] *6,000
Happy Aging Checkup Program for 60 years and over**1,000 THB
Smart Aging Checkup Program for 60 years and over | Female*22,900 THB
Smart Aging Checkup Program for 60 years and over | Male*19,900 THB
Coronary CT Angiography (CTA) to Assess the Coronary Arteries (640-slice CT scan)17,900 THB
Heart Health Screening Program with Exercise Stress Test (EST)10,000 THB
Heart Health Screening Program with Echocardiogram (Echo)11,000 THB
Heart Health Screening Program with Stress Echocardiography (Stress Echo)12,000 THB
Life Fit Plus: In-depth Health Check-up for those who wish to lose weight @Home15,800 THB
Life Fit Plus Magic Pen (3 pens): 3 weight loss pens18,000 THB
Life Fit Plus Magic Pen (10 pens): 10 weight loss pens58,000 THB
Life Fit Plus Magic Pen (6 pens): 6 weight loss pens35,400 THB
Long COVID Symptom Monitoring Program (Basic) **5,200 THB
Long COVID Plus: Symptom Monitoring Program (In-depth)**9,300 THB
Long COVID Extra Plus: Symptom Monitoring Program (Premium)**22,800 THB
Hepatitis A Virus Immunity Test*700 THB
Hepatitis B Virus Immunity Test *1,060 THB
Package of Hepatitis A Vaccines (2 shots) *5,200 THB
Package of Hepatitis B Vaccines (3 shots) **3,000 THB
FibroScan® Test for Liver Cancer Risk, Fatty Liver and Cirrhosis **3,800 THB
Comprehensive Liver Screening Program ***9,500 THB

Services

SAMITIVEJ PLUS

Samitivej Plus is an easy-to-use smartphone application that connects Samitivej services together. Samitivej Plus enables patients for the first time to check their hospital queue number on their mobile device and receive information online in real time. The application guides patients through every step, from the very first moment they arrive at the hospital through treatment, medicine pickup, and more. What’s more, Samitivej Plus allows patients to request an appointment, view their medical history, make easy online payments and call Samitivej ambulance services directly in case of emergency.

GET STARTED

A treatment plan is usually available within 3-5 working days after your inquiry submission. Such plan can be prepared only after you send your medical reports and information regarding your symptoms and medical condition.

function controls_data (value){ let currentWrapper = "mf-response-props-id-30938"; let currentEl = document.getElementById(currentWrapper); return currentEl ? currentEl.dataset[value] : false } let is_edit_mode = '' ? true : false; let message_position = controls_data('messageposition') || 'top'; let message_successIcon = controls_data('successicon') || ''; let message_errorIcon = controls_data('erroricon') || ''; let message_editSwitch = controls_data('editswitchopen') === 'yes' ? true : false; let message_proClass = controls_data('editswitchopen') === 'yes' ? 'mf_pro_activated' : ''; let is_dummy_markup = is_edit_mode && message_editSwitch ? true : false; return html`

${is_dummy_markup ? message_position === 'top' ? props.ResponseDummyMarkup(message_successIcon, message_proClass) : '' : ''} ${is_dummy_markup ? ' ' : message_position === 'top' ? props.SubmitResponseMarkup`${parent}${state}${message_successIcon}${message_errorIcon}${message_proClass}` : ''}

${html`

Submit Medical Inquiry

Request Treatment Plan

For inquiries call 24/7 Hotline +66-25-44-0001 or chat on Messenger, WhatsApp or LINE.

The treatment plans are ready within 3-5 days of inquiry submission. With our team of dedicated medical professionals, you can be sure that you're getting the best possible care available.

${ parent.decodeEntities(`Patient Name`) } * { parent.activateValidation({"message":"Something went wrong.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el) }} /> <${validation.ErrorMessage} errors=${validation.errors} name="booking_name" as=${html``} />

${ parent.decodeEntities(`Email Address`) } * parent.activateValidation({"message":"Please input a valid email address.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="booking_email" as=${html``} />

${ parent.decodeEntities(`Contact Number`) } * parent.activateValidation({"message":"Please input a valid number.","minLength":1,"maxLength":"","type":"by_expresssion_based","required":true,"expression":"[0-9]"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="booking_phone" as=${html``} />

${ parent.decodeEntities(`Are you currently in Thailand?`) }

{ if(parent.state?.submitted !== true){ if ( parent.getValue("current_location") === '' && false ) { register({ name: "current_location" }, parent.activateValidation({"message":"This field is required.","required":false})); if ( "radio" ==='checkbox' ){ parent.setValue( 'current_location', '[]'); parent.multiSelectChange('[]', 'current_location'); } else { parent.setValue( 'current_location', '[]'); parent.handleChange({ target: { name: 'current_location', value: '' } }); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } }} /> ${ parent.decodeEntities(`Yes`) }

{ if(parent.state?.submitted !== true){ if ( parent.getValue("current_location") === '' && false ) { register({ name: "current_location" }, parent.activateValidation({"message":"This field is required.","required":false})); if ( "radio" ==='checkbox' ){ parent.setValue( 'current_location', '[]'); parent.multiSelectChange('[]', 'current_location'); } else { parent.setValue( 'current_location', '[]'); parent.handleChange({ target: { name: 'current_location', value: '' } }); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } }} /> ${ parent.decodeEntities(`No`) }

<${validation.ErrorMessage} errors=${validation.errors} name="current_location" as=${html``} />

${ parent.decodeEntities(`Describe patient's symptoms, conditions and medical history.`) } * <${validation.ErrorMessage} errors=${validation.errors} name="booking_message" as=${html``} />

${ parent.decodeEntities(`Are you currently experiencing any symptoms?`) }

{ if(parent.state?.submitted !== true){ if ( parent.getValue("symptoms") === '' && false ) { register({ name: "symptoms" }, parent.activateValidation({"message":"This field is required.","required":false})); if ( "radio" ==='checkbox' ){ parent.setValue( 'symptoms', '[]'); parent.multiSelectChange('[]', 'symptoms'); } else { parent.setValue( 'symptoms', '[]'); parent.handleChange({ target: { name: 'symptoms', value: '' } }); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } }} /> ${ parent.decodeEntities(`Yes`) }

{ if(parent.state?.submitted !== true){ if ( parent.getValue("symptoms") === '' && false ) { register({ name: "symptoms" }, parent.activateValidation({"message":"This field is required.","required":false})); if ( "radio" ==='checkbox' ){ parent.setValue( 'symptoms', '[]'); parent.multiSelectChange('[]', 'symptoms'); } else { parent.setValue( 'symptoms', '[]'); parent.handleChange({ target: { name: 'symptoms', value: '' } }); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } }} /> ${ parent.decodeEntities(`No`) }

<${validation.ErrorMessage} errors=${validation.errors} name="symptoms" as=${html``} />

${ parent.decodeEntities(`Please select all the symptoms you are experiencing?`) } option.mf_input_option_status === 'disabled'} className=${"mf-input mf-input-multiselect mf-conditional-input " + ( validation.errors['symptoms_list'] ? 'mf-invalid' : '' )} classNamePrefix="mf_multiselect" value=${parent.getValue("symptoms_list") && [{"label":"Fever\/Chills ","value":"Fever\/Chills ","_id":"fd5442b","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Unexplained change in weight ","value":"Unexplained change in weight ","_id":"2b52690","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Fatigue\/Malaise\/Generalized weakness ","value":"Fatigue\/Malaise\/Generalized weakness ","_id":"8eaaf5e","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"423e400","label":"Headaches\/Migraines","value":"Headaches\/Migraines","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"7d9e84e","label":"Dizziness ","value":"Dizziness ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"b738f15","label":"Sinus Pain\/Pressure\/Discharge ","value":"Sinus Pain\/Pressure\/Discharge ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"fccd5e5","label":"Excessive snoring ","value":"Excessive snoring ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"989b186","label":"Wheezing\/Chronic Cough","value":"Wheezing\/Chronic Cough","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"18f6ac4","label":"Shortness of breath","value":"Shortness of breath","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"80c4022","label":"Chest pain, pressure or tightness","value":"Chest pain, pressure or tightness","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"3dcbc25","label":"Swelling of hands\/feet\/ankles","value":"Swelling of hands\/feet\/ankles","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"2d8759b","label":"Nausea\/Vomiting ","value":"Nausea\/Vomiting ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"ce6283a","label":" Abdominal pain ","value":" Abdominal pain ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"10e078c","label":"Heartburn","value":"Heartburn","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"b2a5fed","label":"Constipation or diarrhea ","value":"Constipation or diarrhea ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"8a97daf","label":"Stiffness\/Pain in joints\/muscles","value":"Stiffness\/Pain in joints\/muscles","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"a6b3b77","label":"Joint swelling ","value":"Joint swelling ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"a44f5d1","label":"Bleeding\/Easy bruising ","value":"Bleeding\/Easy bruising ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"e4715e0","label":"Excessive urination","value":"Excessive urination","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"7dbd0ef","label":"Excessive thirst\/hunger ","value":"Excessive thirst\/hunger ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"2ee6574","label":"Hot flashes ","value":"Hot flashes ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"3d81ccc","label":"Painful\/Bloody urination ","value":"Painful\/Bloody urination ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"c4c745e","label":" Difficulty urinating\/Night-time urination","value":" Difficulty urinating\/Night-time urination","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"5940fcb","label":"Urinary incontinence (leakage)","value":"Urinary incontinence (leakage)","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"48c1a5f","label":"Sexual Difficulties\/Painful intercourse ","value":"Sexual Difficulties\/Painful intercourse ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"d238fa8","label":"Rash ","value":"Rash ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"aa33192","label":"Anxiety\/Panic Attacks ","value":"Anxiety\/Panic Attacks ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"2a285e3","label":"Concentration Difficulty ","value":"Concentration Difficulty ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"157a31a","label":"Feelings of Guilt ","value":"Feelings of Guilt ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"3580c7e","label":"Insomnia\/Problems with Sleep","value":"Insomnia\/Problems with Sleep","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"f2df95d","label":"Loss of energy ","value":"Loss of energy ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"88dcffe","label":"Thoughts of harming self or others","value":"Thoughts of harming self or others","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"7a7676f","label":"Option Text","value":"Option Text","mf_input_option_status":"","mf_input_option_selected":""}].filter(item => { if(parent.state.formData['symptoms_list'] && parent.state.formData['symptoms_list'].indexOf(item.value) != -1 ){ return item; } })} name='symptoms_list' placeholder="${ parent.decodeEntities(`Select all the symptoms you are experiencing`) } " options=${[{"label":"Fever\/Chills ","value":"Fever\/Chills ","_id":"fd5442b","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Unexplained change in weight ","value":"Unexplained change in weight ","_id":"2b52690","mf_input_option_status":"","mf_input_option_selected":""},{"label":"Fatigue\/Malaise\/Generalized weakness ","value":"Fatigue\/Malaise\/Generalized weakness ","_id":"8eaaf5e","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"423e400","label":"Headaches\/Migraines","value":"Headaches\/Migraines","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"7d9e84e","label":"Dizziness ","value":"Dizziness ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"b738f15","label":"Sinus Pain\/Pressure\/Discharge ","value":"Sinus Pain\/Pressure\/Discharge ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"fccd5e5","label":"Excessive snoring ","value":"Excessive snoring ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"989b186","label":"Wheezing\/Chronic Cough","value":"Wheezing\/Chronic Cough","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"18f6ac4","label":"Shortness of breath","value":"Shortness of breath","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"80c4022","label":"Chest pain, pressure or tightness","value":"Chest pain, pressure or tightness","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"3dcbc25","label":"Swelling of hands\/feet\/ankles","value":"Swelling of hands\/feet\/ankles","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"2d8759b","label":"Nausea\/Vomiting ","value":"Nausea\/Vomiting ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"ce6283a","label":" Abdominal pain ","value":" Abdominal pain ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"10e078c","label":"Heartburn","value":"Heartburn","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"b2a5fed","label":"Constipation or diarrhea ","value":"Constipation or diarrhea ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"8a97daf","label":"Stiffness\/Pain in joints\/muscles","value":"Stiffness\/Pain in joints\/muscles","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"a6b3b77","label":"Joint swelling ","value":"Joint swelling ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"a44f5d1","label":"Bleeding\/Easy bruising ","value":"Bleeding\/Easy bruising ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"e4715e0","label":"Excessive urination","value":"Excessive urination","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"7dbd0ef","label":"Excessive thirst\/hunger ","value":"Excessive thirst\/hunger ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"2ee6574","label":"Hot flashes ","value":"Hot flashes ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"3d81ccc","label":"Painful\/Bloody urination ","value":"Painful\/Bloody urination ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"c4c745e","label":" Difficulty urinating\/Night-time urination","value":" Difficulty urinating\/Night-time urination","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"5940fcb","label":"Urinary incontinence (leakage)","value":"Urinary incontinence (leakage)","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"48c1a5f","label":"Sexual Difficulties\/Painful intercourse ","value":"Sexual Difficulties\/Painful intercourse ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"d238fa8","label":"Rash ","value":"Rash ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"aa33192","label":"Anxiety\/Panic Attacks ","value":"Anxiety\/Panic Attacks ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"2a285e3","label":"Concentration Difficulty ","value":"Concentration Difficulty ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"157a31a","label":"Feelings of Guilt ","value":"Feelings of Guilt ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"3580c7e","label":"Insomnia\/Problems with Sleep","value":"Insomnia\/Problems with Sleep","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"f2df95d","label":"Loss of energy ","value":"Loss of energy ","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"88dcffe","label":"Thoughts of harming self or others","value":"Thoughts of harming self or others","mf_input_option_status":"","mf_input_option_selected":""},{"_id":"7a7676f","label":"Option Text","value":"Option Text","mf_input_option_status":"","mf_input_option_selected":""}]} onChange=${(el) => { setValue("symptoms_list", ''); if(el != null){ setValue("symptoms_list", el, true); } parent.multiSelectChange(el, 'symptoms_list'); }} ref=${() => { register({ name: "symptoms_list" }, parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false})); if(parent.state?.submitted !== true){ if ( parent.getValue("symptoms_list") === '' && false ) { parent.setValue( 'symptoms_list', '[]'); parent.multiSelectChange('[]', 'symptoms_list'); } } }} isMulti /> <${validation.ErrorMessage} errors=${validation.errors} name="symptoms_list" as=${html``} />

${ parent.decodeEntities(`Are you currently taking any medication? `) }

{ if(parent.state?.submitted !== true){ if ( parent.getValue("medication") === '' && false ) { register({ name: "medication" }, parent.activateValidation({"message":"This field is required.","required":false})); if ( "radio" ==='checkbox' ){ parent.setValue( 'medication', '[]'); parent.multiSelectChange('[]', 'medication'); } else { parent.setValue( 'medication', '[]'); parent.handleChange({ target: { name: 'medication', value: '' } }); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } }} /> ${ parent.decodeEntities(`Yes`) }

{ if(parent.state?.submitted !== true){ if ( parent.getValue("medication") === '' && false ) { register({ name: "medication" }, parent.activateValidation({"message":"This field is required.","required":false})); if ( "radio" ==='checkbox' ){ parent.setValue( 'medication', '[]'); parent.multiSelectChange('[]', 'medication'); } else { parent.setValue( 'medication', '[]'); parent.handleChange({ target: { name: 'medication', value: '' } }); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } } else { parent.activateValidation({"message":"This field is required.","required":false}, el); } }} /> ${ parent.decodeEntities(`No`) }

<${validation.ErrorMessage} errors=${validation.errors} name="medication" as=${html``} />

${ parent.decodeEntities(`Please provide the name of ordered medicines that you are currently taking.`) } <${validation.ErrorMessage} errors=${validation.errors} name="medication_list" as=${html``} />

${ parent.decodeEntities(`Upload Medical Reports from the past 6 Months (Optional)`) }

parent.activateValidation({"message":"This field is required.","required":false,"file_types":[".jpg",".jpeg",".gif",".png",".pdf",".doc",".docx"],"type_message":"Invalid file extension","size_limit":-1,"limit_message":"This field is required."}, el) } /> ${ parent.decodeEntities(`Upload Reports`) }

${parent.getFileLabel( 'reports', 'No file chosen.' )}

<${validation.ErrorMessage} errors=${validation.errors} name="reports" as=${html``} /> ${ parent.decodeEntities(`.jpg, .jpeg, .png, .pdf, .doc, .docx (Multiple Files Allowed)`) }

${ parent.decodeEntities(`Upload Passport (Required for Patient Registration)`) }

parent.activateValidation({"message":"This field is required.","required":false,"file_types":[".jpg",".jpeg",".gif",".png",".pdf",".doc",".docx"],"type_message":"Invalid file extension","size_limit":-1,"limit_message":"This field is required."}, el) } /> ${ parent.decodeEntities(`Choose a file`) }

${parent.getFileLabel( 'passport', 'No file chosen.' )}

<${validation.ErrorMessage} errors=${validation.errors} name="passport" as=${html``} /> ${ parent.decodeEntities(`.jpg, .jpeg, .png, .pdf, .doc, .docx (Multiple Files Allowed)`) }

${ parent.decodeEntities(`Share Google Drive/Dropbox or other URL for Medical Imaging Data (Optional)`) } parent.activateValidation({"message":"This field is required.","urlMessage":"Please enter a valid URL","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="url" as=${html``} />

`}

${is_dummy_markup ? message_position === 'bottom' ? props.ResponseDummyMarkup(message_successIcon, message_proClass) : '' : ''} ${is_dummy_markup ? ' ' : message_position === 'bottom' ? props.SubmitResponseMarkup`${parent}${state}${message_successIcon}${message_errorIcon}${message_proClass}` : ''}

`

DISCLAIMER : The information on this page has been collected from the provider owned portals, and as such MedEx cannot be held responsible for the content herewithin. This page was last updated on 2022-07-18 10:50:00.

Our Patient Says

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