Requests for consultation

If you wish to upload your ‘diagnostic images’ and ‘medical reports’ please follow the instruction below.

  • Upload files one by one.
  • Maximum number of enclosed files is 5.
  • Maximum total size of files is 50MB.
게시물 작성
* Name(first)
Name(Middle)
* Name(Last)
* Nationality
* Age
* Gender
Birth D   M   Y
Addess Street
City Zip Code
Country
* E-mail
Phone No.
Fax No.
How did you get the information to choose Wiltse Hospital?
Subject
Symptom Summary
Attachment attachment
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