Foreign Medical Professionals who have finished the fellowship training at Samsung Medical Center can refer their patients to SMC throughout this website.
SMC provide a wide range of specialist medical services, both outpatient and inpatient for oversea patients. In accordance to patients' medical conditions and needs, the SMC staff will recommend and schedule appointments for them with the appropriate specialists and make all the necessary arrangements for their visit.
For appointments at Samsung Medical Center, please complete the following registration form.

Patient Information

Patient Information
Doctor's information
(trained at SMC)
  • Name
  • Training Period
  • E-mail
  • Tel
Patient Name
Patient`s Hospital ID Number
Date of Birth
* Please enter the date with 8 digits (ex: yyyy/mm/dd)
Name Of Health Insurance
Address in Korea
Permanent Address
Contact Number (in Korea)
  • Telephone Number
  • Mobile Number
  • Fax Number
Emergency Contact
  • Name
  • Relationship to the Patient
  • Telephone Number

Contact Information

Refer Comments
Request Date/Sign &