Registration Form

Registration Form

  • Welcome to Vejthani Hospital Account Registration. Please provide the information exactly as requested in the form below. After the registration process, you will receive an activation code via email. All the registration information is confidential and processed securely.
  • Personal Details

  • Strength indicator
  • (If you are a former Vejthani Hospital patient)
  • eg. 038457388
  • eg. 038457388
  • Company Details

  • eg. 038457388
  • Contact Person

  • eg. 038457388
  • By clicking on the Create Account button below, you agree to our Terms and Conditions and authorize Vejthani Hospital to send you periodic emails and SMS notifications. You can opt out from receiving the information at any time.
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