When you come to Seoul, what tour would you be interested in (historical, Hallyu (K-pop/Kdrama) or shopping tour?
Medical Tour Information
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Have you ever been diagnosed by a doctor or are you aware of any medical conditions through health screenings?
Have you ever been diagnosed by a doctor or are you aware of any medical conditions through health screenings?
If you have selected "other", please enter the specific medical condition.
Please provide the information for individuals who have checked "Malignant tumor" in the previous question.
A. What is the type of cancer you were diagnosed with?
B. When were you diagnosed with cancer?
C. How are you currently being treated for cancer?
Have you ever had surgery?
If you have had any surgical procedures, please list them below.
Please be specific, ex) Year and Date (YYYY/MM), Please provide details of the surgical procedures you have undergone.
Are you currently taking any medications that have been prescribed by a doctor?
Is there any possibility of side effects from the medication?
If there are any side effects from the medication, please list them below.
If any of the following conditions have been diagnosed in your grandparents, parents, siblings, please indicate all that apply.
Please indicate which family members have been diagnosed with the following conditions.
Are you currently taking any health functional foods or dietary supplements?
If you have selected "Other", Please specify other health functional foods or dietary supplements you are taking.
Regenerative medicine treatment
Have you received regenerative medicine treatment from any other institutions?
Please provide the name of the institution where you received treatment.
Please provide details of the treatment you have received in the past and any ongoing treatment you are currently receiving.
Agreement
The information submitted through this form is for personal use only. By requesting information about your surgery/treatment, we solely
aim to ensure safe and effective care. We do not lease, sell, or utilize your information in any way to third parties outside of our clinic.
If you agree, by Checking the Box and clicking Submit; you acknowledge this.