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Patients’Rights
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 Index  General Resources  Online Appointment
CCH INTERNATIONAL MEDICAL CENTER

 First Name
 

 Last Name
 

 Sex

 Date of Birth

 Nationality

 Address
Zip

 Telephone
Country code Region

 Fax
Country code Region

 Email

 Passport Number

 Language
 

Appointment Information
 Have you been to Changhua Christian Hospital?

 If yes, CCH Registration Number
 

 Preferred Date of Appointment

 Reason for appointment




 

 

 Past Medical History


 

 Message

 Note:
* Please bring any medication that you are currently taking so that the doctor can have a complete understanding of your medical needs.

 

   Telephone (Chinese): +886-4-7238595 ext 8371  (English) + 886-4-7009699    
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