GZ General Hospital of Guangzhou Military Command

Applicant： *
Contact Phone NO. ： *
Address：
Time of the Exam： *
Pick up service：tick the box if pick up service is nedded,only for Guangzhou City
Brief description for Medical Record：
( PS:* means has to be filled in)

1、Please fill in the data accurately, we will contact you and arrange the consultation ASAP.

2、Please bring all the relevant medical records and references, such as CT,DSA, MRI.

3、Our working days: (Mon-Fri 8:00-17:00)