Tell us about your medical visit

This form helps us coordinate hospital appointments, schedule support, and travel logistics. Please complete it after your payment so we can begin planning immediately.

We only use this information for medical coordination and planning. We will never share it beyond what is required to arrange services.

Full nameEmail address

Passport (photo or PDF)Please upload a clear copy with your name and passport number visible.

City you plan to visit in ChinaPreferred medical department (if known)

Type of medical care you are seeking

General consultationSpecialist consultationDiagnostic tests / check-upFollow-up visitOther

Brief description of your medical concernThis information is used for coordination only.

Have you visited a hospital in China before?YesNo

Preferred visit timeframeSpecific datesFlexible within a date rangeNot sure yet

Will someone accompany you?NoYes (family member or friend)

Do you have international medical insurance?YesNoNot sure

WeChat + WeChat Pay installed?YesNoNot sure

Anything else we should know?

By submitting, you allow our team to use this information for medical coordination and planning.

Need help while completing the form?

If you have trouble uploading documents or need to clarify any detail, email us and we will assist within 24 hours.

Email: [email protected]

GoChinaGuide

Clear, practical guidance for short-term visitors navigating travel, payments, and care in China.

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