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ID Hospital Korea Consultation Form
Please note: Before making an appointment with us, please advise if you have one of these medical condition or history; High/low blood pressure, diabetes, heart disease (arrhythmia), asthma, tuberculosis, thyroid, high liver index, HIV, syphilis, etc.

Examination fees are as below (X ray, CT scan)
This will be fully refunded if you have surgery with us
- Facial contouring- 20,000KRW (For revision, 100,000KRW)
- Two jaw surgery (Orthognathic) - 50,000KRW (For revision, 100,000KRW)
- Other surgeries - None
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Email *
1. Full name (as appears on passport) *
1-1. Nationality (Passport) *
1-2. Gender *
2. Date of birth *
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3. Preferred language *
4. Contact number *
5. Desired date / time of consultation *
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6. Preferred surgery date
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7. Type of surgery (Please specify. For example, nose surgery with alar reduction, eyelid surgery with epicanthoplasty.) *
8. Preferred doctor
9. Arrival / Departure date & time (Korea) *
10. Previous plastic surgery experience (if any, when)
11. Any major medical history / allergy (medical/daily) *
12. Medication in use (if any, please specify) *
13. Would you like to have a consultation first or pay deposit prior to the consultation to ensure your surgical date? *
14. How did you get to know about ID Hospital?
15. How did you contact ID Hospital? *
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