ĐĂNG KÝ XÉT NGHIỆM COVID-19 | BỆNH VIỆN QUỐC TẾ MỸ

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/ aih.com.vn

Address: Entrance from 199 Nguyen Hoang, An Phu, Dist. 2, HCM

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Hotline: 028 3910 9999

REGISTRATION FOR COVID-19 SCREENING SERVICE

1. Full name *

2. Phone number *

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3. Email

4. Type of customer *

5. Loại hình xét nghiệm *

Quick Test & RT-PCR Test

RT-PCR Test

6. Booking date *

I declare all the above to be true or and correct. I agree with the collection, use and disclosure of my personal & sensative information by American International Hospital for the purpose of precautionary measure against COVID-19.

028 3910 9999

No. 6, Bac Nam 3 St. (Entrance from 199 Nguyen Hoang), An Phu Ward, Dist. 2, HCM City

www.aih.com.vn

/ aih.com.vn

American International Hospital (AIH) is the pioneer international hospital in Vietnam comprehensively following American standards with the mission of bringing American Standard Healthcare Services to patients and their families.

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REGISTRATION FOR COVID-19 SCREENING SERVICE

1. Full name *

2. Phone number *

3. Email

4. Type of customer *

5. Number of people apply for the test *

6. Sampling location *

5. Loại hình xét nghiệm *

5. Loại hình xét nghiệm *

6. Booking date *