Health Tourism Application Form

Please fill out the form completely so that we can communicate with you quickly and efficiently.

    Personal Information

    Gender:

    MaleFemale

    Communication Preference:

    PhoneWhatsappEmail

    Medical Information:

    Service and Travel Information

    Accommodation Preference:

    OtelHospital Side Companion Room

    Transportation Needs:

    Airport Transfer

    File Upload Area

    Please select:

    Medical reports (PDF, JPG, PNG)‘ ’Imaging results (MRI, CT, etc.)Photo/Video (for aesthetic procedures)

    Information and Consent

    I have read and agree to the following legal texts.