THE FORM DELIVERS A PATIENT
Pediatric Cardiac Surgery Foundation, Pediatric Cardiac Surgery Foundation Institute of Cardiovascular Disease, 3th Floor Sa-Aedsiripat Building, 2 Rajavithi Hospital, Ratchatewi, Bangkok 10400
Tel. 02-206-2900 ext. 40311, 40313, 083-9780330 Fax. 02-354-8317
Please send this document to the Children’s Heart Surgery Foundation, fax 02-354-8317
or e-mail: saveblueheart@yahoo.com, admin@pcsf.org
Documents required to contact the Children’s Heart Surgery Foundation
1. Gold card
2. Medical certificate indicating heart disease
3. Parent’s ID card
* In case of contacting about treatment or making an appointment, call 083-978-0330 Monday-Friday 8.00-16.00 hrs.
* In case of contacting to postpone the appointment, please call 02-206-2900 ext. 40320
