TAITRA


	．TAITRA Physical Examination 　Package includes ．TAITRA Physical Examination 　Package ．Request Form


	Chang Bin hospital executive health examination club

	Basic Physical Examinations Package

	Physical Examinations Package

	Whole body tumor image examination

	Whole body tumor image examination and vessel examination and endoscopic examination (A) with all body MRI

	Whole body tumor image examination and vessel examination and endoscopic examination (B) with all body PET/CT

	Whole body tumor image examination and endoscopic examination (A) with lung 64CT

	Whole body tumor image examination and endoscopic examination (B) with Abdomen 64CT

Request Form

Step 1：Complete the Appointment Request Form

For Show-Chwan to arrange your appointment, you have to complete the online appointment request form, which provides Show-Chwan information about your service request, and the preferred date for your appointment.

Show-Chwan will prepare all the relevant services and information you need to know before you come to Show-Chwan for the physical examination.

Step 2.Please wait for the reply by fax or e-mail

After submitting the appointment request form, you will receive Show-Chwan's response by email or fax within 24 hours.

Step 3.Appointment confirmation and other services

The coordinator will reconfirm the appointment date, and will also assist you with transportation arrangements to Show-Chwan.

Step 4.Cancellation and Amendment policy

To cancel or to amend the appointment, please email or call the coordinator as soon as possible.

Contact information：jeany@24drs.com　Tel：0966-230-985

　 Appointment Request Form

Last Name：
First Name：
Gender：	MaleFemale
Date of Birth：	(e.g.01/01/1911)
Passport Number：
Nationality：
Address：	City Province/State Country Zip Code
Mobile Phone Number：
Fax number：
E-mail：
Address in Taiwan：
TAITRA approvable no：
Date of preferred Physical Examination：	(e.g.01/01/1911)