國際醫療服務網上登記

International Patient Services Online Registration

日期 Date: 18-12-2017
病人資料 Patient Information
聯絡人 (如適用) Contact Person (if applicable)
個人病歷 General Medical Information
收集個人資料聲明 Personal Information Collection Statement

就你/病人提供有關資料並與養和醫療集團(下稱「本集團」)及其成員(包括∶養和醫院、各養和醫健醫療中心及任何日後養和醫療服務提供者)的溝通,讓本集團了解你/病人的需要,並讓本集團考慮你/病人是否適合接受本集團的醫療服務。你/病人明白在醫生作出醫療診症前有關各方溝通過程中的任何意見、陳述或建議,並不構成任何醫療意見。 若你/病人需要任何緊急醫療諮詢或治療,請諮詢你/病人的醫生。就病人及/或其親友的住宿及交通需要,請自行辦理有關安排。

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. With regard to accommodation and transportation for patients and/or their relatives or friends, please proceed to make your own arrangements.

聲明 Declaration

本人/病人聲明所提供的資料為正確、準確及完整。本人/病人謹此聲明已閱讀、明白和同意以上備註所列出的條款及「收集個人資料聲明」。

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”.

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