Bumrungrad International Hospital - Request Medical Records

I am requesting these medical records for:	MyselfOther
Reason for the request
Patient Email
Patient Details
Patient Full Name
Date of birth
Hospital Number (HN)
Medical Record Details
Passport Copy	Click here to attach files.
Authorization Letter	Click here to attach files.

Security Code

Talk to our Referral Office Representative in Russia

Our Russian Cultural Support can assist you by answering any questions you have about the hospital as well as book travel arrangements. There are no additional costs for using this service.

Enquiry Book Appointment

To continue treatment
For reimbursement
For insurance
Personal records
Other