Inquiry Form

If you want to inquire about a procedure or have a general question, please fill out the inquiry form below. Filling out this inquiry form is the first of three simple steps on your way to achieving your beauty desires:

 

1.Complete inquiry form

2.Complete medical questionnaire form

3.Complete booking form

* Required fields.

First Name*:

Last Name*:

E-mail*:

Telephone:

Mobile:
Hygeia Healthcare can call me

Address* :

Postal Code:

City*:
State/Province:
Country*:
 
When are you planning to come? Pick a date pick a date..
 
What are you interested in?
Face Body
Botox





   




Combination Packages

Mommy Makeover
Total Makeover
Body Lift



Hair Transplantation

 
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Contact Details:

Hygeia Healthcare Co. Ltd.
1st Flr., Benjamas Building
330, 332 Charansanitwong Rd., Bang-O
Bangplad, Bangkok 10700 Thailand
Phone: +66 2 879 1575
Phone (From the UK): (+44) 020 8133 8346
Phone (From Denmark): (+45) 36 98 0111
Phone (From USA): (+1) (323) 319 5865
Phone (From Australia): (+61) (02) 8006 2040
Phone (From New Zealand): (+64) 04 889 0031
Fax: +66 2 879 1579

E-mail: info@destinationbeauty.com

 
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