INTERNATIONAL PATIENTS

Contact:

Phone: +90 284 235 7641 (4000 - 4057)

Email: hastanebasin@trakya.edu.tr

Address: Trakya University Health Research and Application Centre / Edirne



T.C.
TRAKYA UNIVERSITY
HEALTH RESEARCH AND APPLICATION CENTRE
INFORMATION FORM FOR INTERNATIONAL PATIENTS

* Name :  
* Surname :  
* Gender :  
* Date of Birth :  
* Residence :  
* Job :  
* Language :  
* Phone :  
* E-Mail :  
What are your complaints? :  
* Write us about your questions :  
 NOT: If you know the answer please fill in the boxes below. It will help us to give you the correct answer.
Diagnosis (If your illness has been diagnosed write to us). :  
What treatment has planned for you in your country? :  
Any research about your illness :  
Is there any treatment previously applied? :  
What do you want about the treatment in our hospital? :  
* Güvenlik Kodu :  
 NOT: İşlemin sonucunu giriniz.