Contact Us

Steps Health Referral Office provides one stop service to take care of all arrangements from doctor's appointment, treatment information, estimation of cost, recovery period to flight booking, hotel reservation, airport and hotel pick-up. We can also arrange for sightseeing tour of Pattaya.

We will submit a complete proposal based on the information you provided us and be assured of the confidentiality of all the information.

Firstname: 

Lastname: 

Home Address:

Best Daytime Contact No.

Nationality:

Date of Birth :

Email:

Treatment/s in which you are interested
Please specify:

Preferred Date of Travel:

Drug Allergies:

Do you have any pre-existing medical conditions:
Please Specify

Hotel/Resort Preference (Please specify also your needs)  (Optional)

Do you want us to book your flight?   (Optional)

Do you want us to arrange for a sightseeing tour?   (Optional)

Additional information you wish to tell us:

 

 

 

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