About us
History/Wards
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Directors
Virtual Tour
Deputy of Research
Deputy of Education
Deputy of Treatment
Criticisms and Suggestions
Tuberculosis Institute
Respiratory Health Institute
Respiratory Diseases Institute
Contact Us
Departments/Clinics
Services
Physicians
Health Tourism
International patients Department (IPD)
IPD Contact
Price List
Facilitating Companies
Patient Medical Documents
Contract Party Insurance
International Patient Admission
International Patient Discharge
Satisfaction Survey
Patient Rights
FA
Home
Health Tourism
Patient Admission Form
Step 1
Name
Surname
Country
Age
Phone number in the home country
Phone number in Iran
E-mail
Passport Number
Please upload the scan of your passport here
Step 2
Requested Services
Thoracic Surgery
Cardiac Surgery
Tracheal Stenosis
Sleep Test
Pet- scan
Tuberculosis ,MDR TB, XDR TB
Other( please describe)
Step 3
Past Medical History of patient
Summary of patient recent admit ion
laboratory Test Results
Radiology (X-Ray)Scan
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