Inquiry

Contact Us for Medical Inquiries or Appointments

Do you have questions about your health, symptoms, or need a medical certificate?
BLEZ Clinic welcomes both new and returning patients for internal medicine care and check-ups.

We provide services in English, Japanese, and Thai, including
health check-ups for work permits or driver’s licenses, vitamin IV drips, STI testing, blood tests, and wound care.

Please fill out the form below and press “Send”. A staff member will reply by email.
Appointments are recommended for smoother service and minimal waiting time.

Prefer to contact us via LINE or phone?

* To contact us via LINE, please add our official account first.

We usually reply within 24 hours. If you’re in a hurry, please call or use LINE.

Clinic Locations (Both Branches Are Near BTS Stations)

Online Contact Form

Please review your information before pressing the “Send Message” button below.
We usually reply within 24 hours.

    📝 Contact Form

    Please fill out the form below and click “Send Message.”

    We usually reply by email within 24 hours.


    ■ Full Name *required


    ■ E-mail Address *required


    ■ Phone Number (optional)


    ■ What would you like to ask us? *required

    Examples:

    – I want to book a health check-up next week.

    – Can I get a medical certificate for a work permit?

    – I have a sore throat. Can I walk in or need an appointment?

    – Which STI test package should I choose?


    I understand that my personal information will be kept confidential and used only to respond to my inquiry.

    Please check your information before clicking the button below.


    Don’t hesitate—your health matters. Just fill out the form and we’ll get back to you shortly.