Myungokhun Clinic - Treatment Reservation Survey

What treatment(s) are you interested in?

📌Please make sure your email address and WhatsApp number are entered correctly.

These are not confirmed appointment dates

Please enter detailed information for accurate consultation.

Full Name *

Phone Number *

Birth Date *

Email Address *

Nationality

Select Nationality

Gender

Instagram link

Please leave your Instagram ID or link for consultation confirmation.

Residency Status

A resident in Korea A visitor for short term

Do you have Korean National Health Insurance? *

Yes, I do have. No, I do not have.

How did you get to know Myungokhun?

Please enter the number of people and additional information.

Number of Patients

A reservation deposit is required to secure your appointment and prevent no-shows.

Once your reservation request has been reviewed and approved,
payment instructions for the deposit will be sent to your registered email address.

I have confirmed the above and agree to proceed with the reservation.

Message

For appointments involving two or more patients,
please provide the full name, date of birth, and requested treatment details for each patient.