Objective: screening for safety standard
Please give exact information by marking in
[caldera_form id="CF5f0c349e84434"]
Note:
Clinic has followed guideline for “Control and Prevention of COVID-19 spreading” advised by The Dental Association of Thailand.
If you have COVID-19 infection later, no matter from anywhere, clinic will not be responsible for any such complaints or compensation.
The “real” information must be provided by you. If not, you will be fined and/or jailed according to Thai Law.
I hereby confirm that information given above is “true” and I already understand any risk that might be. I sign my name to accept all the condition above.
