Health Checkup Appointment Registration

(Please make an appointment at least 2 days in advance)

Short-Sightedness Treatment Program at Samitivej Chinatown LASIK Center

120,000 89,000 Baht

Please provide your information *

First name*

Last name*

Date of birth*

Gender*

Nationality*

Phone number*

Email*

Health concerns or additional details you would like to share (if any)

You are:

Patient

Other

Please select your preferred appointment date *

Preferred checkup date

Preferred checkup time

Notes

1. Please make an appointment at least 2 days in advance.
2. You may present the temporary receipt sent to your email to request the official receipt at the Finance Department on the 1st floor on the service date only.
3. Unavailable dates mean that the doctor is not on schedule for that specialty or all slots are fully booked.

*Note: If your card has already been charged and the system shows an error, you will receive a confirmation email automatically within 1 day.