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Inquiries about health checkups

【Approximate report delivery】
We will send you an email within 3 weeks from the date of your consultation.
(If you undergo some tests at a later date, we will prepare it after all the tests are completed.)

Year Month Day


*Since there are many traffic troubles in Thailand, we basically ask patients to come directly to our hospital to receive the stool test kit.
If it is difficult for you to come to the hospital, we can send it by mail, but please note that the stool test kit may not arrive by the test date.


*Including general medical treatment



First preferred date
Year Month Day

Second preferred date
Year Month Day

Third preferred date
Year Month Day



If you select "Company Designated Plan" or "Others", please let us know the details.

Health checkup for work permit/renewal is not available on this booking form.
We do not require an appointment, so please come directly to the clinic.

ABO+Rh [+350THB] 
Check your blood type (ABO and RH)

Serum iron [+600THB] 
Check iron in serum

Ferritin [+750THB] 
Examine ferritin, which regulates iron in the body

Rheumatoid factor(RF) [+600THB] 
Examine the rheumatoid factor that causes rheumatoid arthritis

Triglycerides [+300THB] 
Investigate arteriosclerosis risk factors

Amylase [+450THB] 
Examine digestive enzyme amylase

LDH [+620THB] 
enzyme that converts sugar into energy in the cell

CRP [+800THB] 
Investigate internal inflammation

eGFR  [+0THB] 
A value that indicates the current level of renal function

HbA1C [+650THB] 
Average blood sugar level for the last 3 months. Check for possible diabetes

TSH [+600THB] 
check thyroid stimulating hormone

Free T3 [+700THB] 
Examine the thyroid hormone free thyroxine

Free T4 [+450THB] 
examination of thyroid hormone free thyroxine

FSH [+800THB] 
Examine follicle-stimulating hormone

Estradiol [+900THB] 
check estrogen (eltradiol)

AFP [+500THB] 
Examine liver tumor marker (AFP)

CEA [+600THB] 
Examine colon tumor marker (CEA)

CA19-9 [+900THB] 
Examine pancreatic tumor marker (CA19-9)

PSA [+900THB] 
Examine prostate tumor marker (PSA)

CYFRA [+2,000THB] 
Examine lung tumor marker (CYFRA)

CA125 [+900THB] 
Examine ovarian tumor marker (CA125)

CA15-3 [+920THB] 
Examine breast tumor marker (CA15-3)

HBsAg [+500THB] 
Find out if you are currently infected with hepatitis B

anti-HCV [+700THB] 
Check for hepatitis C

RPR/VDRL [+150THB] 
Check for syphilis

HIV Antibody [+600THB] 
Check for HIV

antiHAV IgG [+950THB] 
Check for hepatitis A antibodies

HBsAb [+300THB] 
Check for hepatitis B antibodies

Measle IgG [+1,350THB] 
Check for measles antibodies

Rubella IgG [+1,200THB] 
Check for rubella antibodies

Helicobacter Pylori IgG [+1,200THB] 
Check for H. pylori infection with a blood test

Sputum AFB [+350THB] 
We will collect sputum and check for cell abnormalities, bacterial, viral infections, and allergies.

Hearing test [+700THB] 
Your hearing will be measured with an audiometer.

Fundoscopy IOP [+500THB] 
Fundoscopy examines the blood vessels, retina, and optic nerve of the fundus to check for retinal diseases and glaucoma. In addition, the intraocular pressure test measures the intraocular pressure (intraocular pressure) to check for glaucoma, etc.

EKG [+500THB] 
Electrodes will be attached to the chest and extremities to examine the state of the heart

Chest X-ray [+500THB] 
Take a chest x-ray (one direction)

ABI(ankle brachial index)  [+1,000THB] 
Blood pressure in the upper arm and ankle is measured to check for hardening of the arteries and narrowing of the lumen of the arteries. Vascular age can be measured.

Whole abd ultrasound [+3,000THB] 
Examine the entire abdomen (upper and lower abdomen) with ultrasound

Upper abd ultrasound [+1,800THB] 
Examine the upper abdomen (gallbladder, liver, kidney, pancreas, spleen, etc.) with ultrasound

Lower abd ultrasound [+1,800THB] 
Using ultrasound to examine the lower abdomen of men and the ovaries and uterus of women. *This test is performed with urine stored in the bladder.

Thyroid ultrasound [+1,800THB] 
Examine the thyroid with ultrasound

Carotid ultrasound [+3,000THB] 
Using ultrasound to examine the blood vessels in the neck.

Thin Prep [+1,650THB] 
Take cervical cells and perform cytology to assess cervical status

HPV [+2,000THB] 
Check for HPV virus that causes cervical cancer

Thin Prep+HPV [+3,000THB] 
HPV test will also be performed with cells collected from cervical cancer cytology

Transvaginal ultrasound [+2,000THB] 
Insert a device into the vagina to examine the uterus, ovaries, etc. with ultrasound

Breast ultrasound [+1,800THB] 
Using ultrasound images to check for breast abnormalities such as breast cancer

Mammogram [+1,800THB] 
Recommend examination with breast ultrasound. A mammogram alone is not acceptable. X-rays are used to check for breast abnormalities such as calcification.

Upper GI X-ray [+3,500THB] 
Examine the esophagus, stomach and duodenum with barium examination

Gastro scopy [+11,000THB] 
Insert an endoscope through the mouth to observe the esophagus, stomach, and duodenum.

Urea breath test [+4,300THB] 
Take a test medicine and check for Helicobacter pylori infection in the exhaled breath before and after taking it

Spirometer [+850THB] 
Lung function will be evaluated by measuring vital capacity and exhalation force *Please come to the hospital 15 minutes before the appointment time to perform an antigen test

Stool Occult Blood [+200THB] 
Check for fecal occult blood

Avaxim 160U [+2,170THB/Times] 
2 doses (first → 6-12 months later) are required.

Havrix 1440 [+2,390THB/Times] 
2 doses (first → 6-12 months later) are required.

EngerixB in Adult dose/Heberbiovac-hb [+1,010THB/Times] 
3 doses (first time → 1 month later → 6 months later) are required.

Twinrix [+2,100THB/Times] 
3 doses (first → 1 month later → 6 months later) are required.

Adsorbed Td [+780THB/Times] 
3 doses (first → 3-8 weeks later → 12-18 months later) are required.

Verorab/Speeda [+1,080THB/Times] 
Two doses (first → 7 days later) are required.

IMOJEV [+1,210THB/Times] 
This is a one-time vaccination.

Vaxigrip Tetra/Fluarix Tetra [+900THB/Times] 
Thailand recommends vaccination once a year.

FreeT3+FreeT4+TSH [+1,500THB] 
Examine thyroid hormone secretion.

Vitamin D deficiency test [+3,000THB] 
Check for vitamin D deficiency.

Electrolyte inspection [+990THB] 
Check for lack of electrolytes (sodium, potassium, chloride).

Ferritin+Serum iron+TIBC [+1,750THB] 
Check for iron deficiency (ferritin, serum iron, total iron binding capacity) by blood test.

STD Blood test plan [+4,800THB] 
Blood tests for venereal diseases (HIV antigen-antibody, syphilis, hepatitis B antibody and antigen, hepatitis C antibody)

STD Urine test plan [+5,250THB] 
Urinalysis for venereal diseases (chlamydia, gonorrhea, ureaplasma, mycoplasma, trichomonas)

STD Blood & Urine total plan [+7,850THB] 
Urine and blood tests for STDs

Thin Prep+HPV [+3,000THB] 
Check with cervical cancer cytology and breast ultrasound.

Breast ultrasound + Mammogram [+3,000THB] 
Check with breast ultrasound and mammogram.

45 kinds of allergy [+6,000THB] 
Check for allergy antibodies (IgE level) with a blood test.

Food allergy (20 kinds)  [+3,500THB] 
Check for allergy antibodies (IgE level) with a blood test.

Inhalant allergy (20 kinds) [+3,500THB] 
Check for allergy antibodies (IgE level) with a blood test.

Throat anesthesia (partial anesthesia)
Sedative (weak general anesthesia)
Do not undergo endoscopy (gastroscopy)


※Note※
Throat anesthesia is a local anesthesia by spraying the throat. A sedative is injected into a vein while the patient is asleep.

Are you currently taking any of the following “blood thinning drugs”?
If you have any medicines that you are concerned about, we will ask your doctor in advance whether you should stop taking them for a certain period of time before performing a gastroscopy, so please enter them below.
don't do
Warfarin
Aspirin
Plavix
Clopidogrel
Epadel
Ethyl icosapentate
Pletaal
Cliostazol
Rivaroxaban

Receipt of the stool test kit (33/1 hospitals, 49 hospitals can receive it)
Stool inspection kit mailing request (50B/1 piece shipping fee)
No stool test (Click here for simple checkups, Plan A, pediatric checkups, and gynecological checkups)


33/1 hospital, 49 hospitals can be handed over every day (weekdays, Saturdays and Sundays) from 9:00 to 18:00.
*Please note that if you would like to make a reservation within a week,
it will take time to send the stool test kit, so please note that you will only receive the kit at our clinic.

Home page
Introduction from company
Free paper
Referral from acquaintance
In-hospital posters
Continued use from last year
Others
If you selected "Other", please tell us the reason for your visit.

Tokyo Marine Japan
Sompo
Mitsui insurance
AIG
Aioi
HS
Prestage
Tokyo Marine Thai
Cigna
Chubb
Zurich
au
Rakuten
not have
others
If you selected "Other", please tell us the reason for your visit.

*Symptoms found during the health checkup may be covered by insurance.
Please do not forget to bring it with you on the day of your health checkup just in case.


I agree to the policy.




Consent date


Consent name


Name of guardian/custodian


E-mail address (where to send the medical examination report)


E-mail address (where to send HIV and syphilis test results)


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