Request an appointment 预约要求

预约要求
Request an appointment
日期 Date:01-11-2020
病人資料 Patient Information
備註 Remarks
收集个人资料声明 Personal Information Collection Statement

就你/病人提供有关资料并与养和医疗集团(下称「本集团」)及其成员(包括∶养和医院、各养和医健医疗中心及任何日后养和医疗服务提供者)的沟通,让本集团了解你/病人的需要,并让本集团考虑你/病人是否适合接受本集团的医疗服务。你/病人明白在医生作出医疗诊症前有关各方沟通过程中的任何意见、陈述或建议,并不构成任何医疗意见。 若你/病人需要任何紧急医疗咨询或治疗,请咨询你/病人的医生。

By providing your information to and engaging in communication with HKSH Medical Group (“Group”) and members of the Group, including Hong Kong Sanatorium & Hospital, HKSH Healthcare and any future healthcare services providers of the Group, you would allow us to understand your needs and consider your suitability for receiving medical services at the Group. You understand that any opinion, statement or advice expressed during the course of communication before medical consultation with doctors does not constitute any medical advice. If you require any immediate medical advice or treatment, please consult your doctor.

声明 Declaration

本人/病人声明所提供的资料为正确、准确及完整。本人/病人谨此声明已阅读、明白和同意以上备注所列出的条款及「收集个人资料声明」。本人/病人声明所提供的资料为正确、准确及完整。本人/病人谨此声明已阅读、明白和同意以上备注所列出的条款及「收集个人资料声明」。

By submitting, I / Patient declare that the information provided in this form is correct, accurate and complete. I / Patient declare that I / Patient have read, understood and agreed with the terms listed on the above remarks and the “Personal Information Collection Statement”.

本人确认已细阅「收集个人资料声明」,并同意相关条款。
I confirm that I have read and hereby agreed to the terms of the “Personal Information Collection Statement”.

此预约尚待确认,请留意提交表格后,养和将会尽快以电话或电邮为您确认预约。
This is not a confirmed booking. Please note that after the submission of this e-form, we will confirm your appointment by phone or email in due course.