Medical Appointment
The collected personal information shall be used for medical services only and shall be protected by the Personal Information Protection Act of Korea.
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If you are unable to contact us online, please download the document and e-mail it to us.
We will contact you as soon as possible after the confirmation. 
E-Mail : konkukhealth@gmail.com
Download the Consent Form
* Required fields
Temporary Save
*
Have you previously visited KUMC?
Patient Registration Number
*
Name
*
Gender
*
Date of Birth
*
E-Mail
*
Mobile Phone Number
*
Emergency Contact Number
*
Passport Number
*
Passport Expiration Date
*
Nationality
*
Language
Date of Arrival in Korea
Duration of Stay
Address in Korea
Address in Home Country
*
International Insurance
*
Korean National Health insurance
Symptoms &
Medical Services Required
Other Opinions
Submit
If you are unable to contact us online, please download the document and e-mail it to us.
We will contact you as soon as possible after the confirmation.  
E-Mail : konkukhealth@gmail.com
Download the Consent Form
!
It is temporarily saved.
OK
!
If your are interested in an appointment,
please fill in the required fields.
OK
!
You now have an appointment.
We will contact you as soon as possible
after the confirmation
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You have no appointment.
Please try again.
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Department

Center