Thai Travel Clinic - Online Appointment System ระบบนัดหมาย คลินิกเวชศาสตร์ท่องเที่ยวและการเดินทาง Resource: Travel Clinic Visit Services: Appointment Selection: to Grid Start Date: Please select any available timeslot, by clicking green checkmark then click next You cannot make an appointment which less than 10 hours in advance Name (First..Middle..Last): * Phone: Email: * Age(Yr) * Gender Male Female * Date of Birth (DD/MM/YY) * Nationality * Passport Number * For foreigners; please bring the photocopy of your passport with you Address Have you ever visited our clinic Yes, I have been here before No, this will be my first time * Your Hospital Number (HN) For traveler who has visited our clinic before Remark You may specify your requests (type of vaccine, type of lab test, medication) here. Accept Terms of Services * You can read our Terms of Services and Privacy Policy by clicking link at the footer Summary: Name: Email: Phone: Appointment for: Purpose of visit: Extras Date and Time: Persons Booked: Appointment Selection: to Resource Rate Hours Total Owing $ $ Total Owing $ Deposit Required $ Please review your booking, then click 'Submit' and wait for the confirmation.. By clicking submit, you are agreeing to the Terms and Conditions