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你的旅程
1. 试管婴儿前期检查
如何在体外受精前准备
Pregnable 培孕宝
2. 体外受精过程
试管婴儿流程指南
试管部门医生&实验室
试管婴儿部门费用
3. 前往泰国
在線預訂
BNH服务
BOOCS健康疗法
儿科
保育室
網上商店
泰国 BNH 医院
联系我们
GENERAL CONSENT FORM
GENERAL CONSENT FORM
Date
*
I am a
*
Patient
Legal representative
Name - Surname (Patient)
*
Name - Surname (Legal representative)
*
Relationship
*
State why the patient is not able to given consent personally (or to sign this form)
*
Minor – any unmarried male or female whose age has not reached the age of consent (20 years old)
Physical/Mental disorder
Other (Please specify)
Other (Please specify)
I hereby agree to be treated in BNH hospital and give consent to my physician/dentist and assigned medical team, nurses and BNH hospital's staff for examination, medical treatment and other medical services which are considered necessary and required for the best interests of my medical health. I would like to confirm that I have been clearly informed about the treatment. In addition, I have already received complete and current information regarding diagnosis, prognosis, medication, investigation, necessity and result of treatment including any risks and complications that may arise in my case. This consent shall cover any necessary acts which are required to be performed as emergency treatment.
I hereby acknowledge that I have read the above Consent and patient's rights information, understand their meaning and terms. I have therefore placed my signature below to enable the medical team to provide the care and treatment.
I hereby consent to receive the treatment detailed above in BNH hospital.
*
Clear
I hereby consent to receive the treatment detailed above in BNH hospital.
*
Clear
Submit
你的旅程
1. 试管婴儿前期检查
如何在体外受精前准备
Pregnable 培孕宝
2. 体外受精过程
试管婴儿流程指南
试管部门医生&实验室
试管婴儿部门费用
3. 前往泰国
在線預訂
BNH服务
BOOCS健康疗法
儿科
保育室
網上商店
泰国 BNH 医院
联系我们
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