BIMCare Membership Kuta — BIMC Hospital Bali
Home » BIMC Hospital Kuta » BIMCare Membership
BIMC Hospital Kuta /

BIMCare Membership

Bimcare Membership (2)

Bimcare Membership (1)

Application Form

BIMCare Membership

    Given Name*
    Surname*
    Email*
    Nationality*
    Date of Birth*
    Sex *
    Phone
    Mobile
    Card Type*
    Address

    Additional Family Member

    Additional Family Member 1
    Name
    Date of Birth
    Sex
    Additional Family Member 2
    Name
    Date of Birth
    Sex
    upload scanned copy KTP/KITAS/KITAP*
    "BIMC Privilege Club is available upon presentation of KTP/KITAS/KITAP or retirement visa"

    Get in Touch

    We value your inquiry and interest towards our services in BIMC Hospital, therefore please complete this following form and we will respond to you within maximum 48 hours of receiving your request.

      BIMC Nusa Dua

      Kawasan ITDC Blok D
      Nusa Dua 80363, Bali, Indonesia
      Tel:+62 361 3000911
      Email:admin.nd@bimcbali.com
      find us :

      BIMC Kuta

      Jl. Bypass Ngurah Rai No 100X
      Kuta 80361, Bali, Indonesia
      Tel:+62 361 761263
      Email:admin@bimcbali.com
      find us :

      BIMC Ubud

      Jl Raya Sanggingan No 21, Kedewatan,
      Ubud - Gianyar 80561, Bali, Indonesia
      Tel:+62 361 2091030
      Email:admin.ubud@bimcbali.com
      find us :

      Stay Connected

      siloam-logo
      The trusted destination of choice for holistic world class health care, health education and research

      © - BIMC Hospital Bali

      Whatsapp (appointment only) whatsapp bimc bali