블레즈 클리닉 Asok 점 예약하기

■Have you visited BLEZ CLINIC Asok branch before?*

NoYes

■Full Name*required

■Sex

Mr.Ms.

■Daytime Phone

■E-Mail Address*required

■Please attach a photocopy of your passport.*required

ถ้าคนไทย กรุณาแนบรูปบัตรประชาชน

■Appointment Date & Time*required

, 09:00 am *weekend only09:30 am *weekend only10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm01:00 pm01:30 pm03:00 pm03:30 pm04:00 pm04:30 pm05:00 pm05:30 pm *weekday only06:00 pm *weekday only06:30 pm *weekday only07:00 pm *weekday only

OPEN HOURS:

[Weekday] 10:00 am〜02:00 pm／03:00 pm〜08:00 pm

[Weekend] 09:00 am〜02:00 pm／03:00 pm〜06:00 pm

[Lunch Break] 02:00 pm〜03:00 pm

[Last Reception] 30 minutes before closing time

Doctor's schedule

■Type of Consultation※Multiple answers*required

Medical Certificate (Work Permit)Medical Certificate (Driving License)Medical Certificate (others)STI/STD Check-upImmunization(Influenza)Immunization(Rabies)Immunization(Tetanus)Immunization(Hepatitis A+B)Immunization(Hepatitis A)Immunization(Hepatitis B)Immunization(Japanese Encephalitis)Immunization(Typhoid)Immunization(Chickenpox)Immunization(HPV/Cervical cancer)Health Check-up(Basic)Health Check-up(Basic Plus)Health Check-up(Standard)Health Check-up(Advance for over 40 men)Health Check-up(Advance for over 40 women)Vitamin IV dripsGeneral medicineOnline consultationAllergy TestAnabolic Steroid Panel

■Company Name, Address and Tax ID on your receipt if need

■Remarks

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