Skip to content
Home
About us
Hospital Information
Impressions from service recipients
Gallery
Work with us
Medical Centers
Medical services
Mobile Check Up
Wound Care at Home
Home Physical Therapy Vaccine
Drive Thru Vaccination
Services
Online Payment Service
Patient Rights & Responsibilities
Insurance Department
Operating Room
ICU Department
Patient Rooms
Find doctor
Pleasant Health & Flawless Beauty Package
Contact us
Home
About us
Hospital Information
Impressions from service recipients
Gallery
Work with us
Medical Centers
Medical services
Mobile Check Up
Wound Care at Home
Home Physical Therapy Vaccine
Drive Thru Vaccination
Services
Online Payment Service
Patient Rights & Responsibilities
Insurance Department
Operating Room
ICU Department
Patient Rooms
Find doctor
Pleasant Health & Flawless Beauty Package
Contact us
Search for:
Contact us
Bangkok Hospital Samui
57 Moo 3 Thaweerat Phakdee Rd, Amphoe Koh Sa-mui, Surat Thani 84320
+66 (0) 7742 9500
+66 (0) 7742 9540
Hotline(Koh Samui Area): 1719
[email protected]
Contact
Title
Required
นาย
นาง
นาสาว
Name
Required
Middle Name
Surname
Required
Gender
Required
Man
Woman
Date of Birth
Required
MM slash DD slash YYYY
Have you ever been our patient?
Required
Yes
No
Country
Required
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
United States Virgin Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Nationality
Required
Afghan
Argentine
Austrian
Australian
Bangladeshi
Belarusian
Belgian
Bolivian
Brazilian
British
Bruneian
Bulgarian
Cambodian
Cameroonian
Canadian
Chadian
Chinese
Colombian
Costa Rican
Croatian
Czech
Danish
Ecuadorian
Egyptian
English
Estonian
Ethiopian
Finnish
French
German
Ghanaian
Greek
Guatemalan
Dutch
Honduran
Hungarian
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakh
Kenyan
Lao
Latvian
Libyan
Lithuanian
Malagasy
Malaysian
Mexican
Moroccan
Namibian
New Zealand
Nicaraguan
Nigerien
Nigerian
Norwegian
Omani
Pakistani
Panamanian
Paraguayan
Peruvian
Philippine
Polish
Portuguese
Congolese
Romanian
Russian
Saudi, Saudi Arabian
Scottish
Senegalese
Serbian
Singaporean
Slovak
Somalian
South African
Spanish
Sudanese
Swedish
Swiss
Syrian
Thai
Tunisian
Turkish
Ukranian
Emirati
American
Uruguayan
Vietnamese
Welsh
Zambian
Zimbabwean
E-mail address
Required
Phone number
Required
Message
Required
Agreement
Required
I Agree to Privacy Policy
Email
This field is for validation purposes and should be left unchanged.