BK Plastic Surgery Hospital

	* Please enter your mobile phone number and e-mail address correctly, otherwise we can't contact you.
	name
	country
	mobile phone number	(including your country code). * To confirm your reservation, we will contact your mobile phone. Your mobile phone number is essential.
	re-type mobile phone number
	e-mail	Your e-mail address will be used as the password on 'Reservation List' page.
	re-type e-mail
	name of surgeon
	consultation date
	surgery date	I will decide the operation date after the consultation.
	Please select surgeries you wish to receive. eyelids nose facial bone (mandible or zygoma) breast liposuction fat grafting blepharoplasty (wrinkle of upper or lower eyelids) face lift magic lift scar hair botox filler calf reduction nevus lips etc etc :

Do you want hotel reservation services? Yes No
* For foreign patients, we can provide hotel reservations for your stay in Korea after the surgical procedure.

Do you want to stay at BK Admission Room? Yes No
* Admission Room is provided free of charge by BK Plastic Surgery Hospital.
This accommodation is located on the 13th and 14th floor of the hospital and is equipped with bed, TV, refrigerator,
bathroom and etc.

Do you want pick-up service? Yes No
* After checking airport pick-up service, all you need to do is to pay the service fee to the driver when you meet him or her.
(around 65-70 USD).

* Please enter your pick-up service information.

Please enter your departure schedule. Country : Airport :
Which airport will you arrive at? Airport
Please enter your arrival date. :
Please enter your flight airline and flight number. airline : number :
Please enter the number of person/s that will need the pick-up service.
Please enter the name that shall be written on the "pick-up man's" signboard at the airport.
Please fill out the name or address of your destination.

	* For pick-up or hotel reservation services, please enter your full name as printed on your passport.

	* Please fill in the blanks for a more detailed consultation.
	gender	Female Male
	age	Years old
	picture
	memo