Patient's card

Having trouble filling out the online form?

If you are having difficulty completing the online form or the form cannot be submitted, download the Patient Information Form as a Word document and complete it on your computer or phone.

After completing the form, save the document and send it to us:

Email: nogallstones@gmail.com
WhatsApp: +86 136 2288 6224

Please complete all fields in the form. This will help the doctor review your medical information and provide a preliminary opinion more quickly.