INTERNATIONAL PATIENTS

Contact Information

Phone:
+90 284 235 7641 (4000-4057)
+90 284 235 27 26

E-mail:
bashekim@trakya.edu.tr
hastanebasin@trakya.edu.tr

Address:
Trakya University Medical 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? :

* Security Code :

NOT: Enter the operation's result.