KNUCH GLOBAL

Request an appointment Online

Our International Healthcare Center staff will contact you as soon as possible.
Please note that we cannot process emergency requests through this form. In case of a medical emergency, please visit our Emergency Department opens 24/7 .

Patient Application form
Information on the Collection and Use of Personal Information
  • 1. Purpose of Collection and Use of Personal Information with the consent of users, Kyungpook National University Chilgok Hospital collects users' personal information for the purpose of provision of services.
  • 2. Items of Personal Information Collected Patient registration number, Name, Gender, Date of birth, Nationality, Language, Contact number, Email address, Any other contact number, Address in Korea, Permanent Address, Private Insurance, Symptoms & Medical Services Required, Available Dates & Comments.
  • 3. Term of Retaining and Use of Personal Information : 2 years.
  • 4. You have a right to disagree the collection and use of personal Information above.
    If so, please Contact Us by +82-53-200-2040~2045 and let us know the details.
  • ※ Please agree to the Information on the Collection and Use of Personal Information
Request an Appointment *MUST BE FILLEDIN
Kyungpook National University Chilgok Hospital 등록
НОМЕР KNUCH ID (Only for registered patients)
필수항목Name (Given / Middle / Family)
필수항목Gender
필수항목Date of Birth
필수항목Nationality
필수항목Language
필수항목Phone number
Any other contact number
Contact information 필수항목E-mail
Address in Korea
Permanent Address
필수항목Private Insurance
필수항목Korean National Health Insurance
필수항목
필수항목 1909