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Minimally Invasive Prostate Surgery Center
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Notice for Medical Attention
First Appointment
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Patients’ Rights and Responsibilities
Process for Medical Attention
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Information for Foreigners in Taiwan
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CCH International Medical Center
General Resources
Appointment Procedure
Last Name
First Name
Sex
male
Female
Date of Birth
Year
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2024
Month
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Nationality
Passport Number/Resident Certificate Number
Contact Address
Contact Telephone
Fax Number
Nationality
Passport Number/Resident Certificate Number
Chinese
English
Others
Appointment Information
Have you been to Changhua Christian Hospital for medical attention？
No
Yes
Preferred Date of Appointment
Reason for Appointment
Hypertension
Neurological Disease
Heart Disease
Alcoholism
Drug Allergy
Cancer
Historyof Illness (Please check)
Diabetes
Kidney Disease
Mental Diseases
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Problems Tuberculosis (TB)
Others
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