Be Well Print Suite

A5 single-visit outpatient card: patient, allergies, vitals, case notes, diagnosis and treatment. A4 from the toolbar when the notes need more room.

A4 Thai Medical Council form for a driving-licence application: the applicant's declaration, the examination and the physician's certification, dated in the Buddhist era.

Advance directive in English under Section 12 of the National Health Act, on three A4 pages: the declarant's details and wishes, the conditions and treatments to sign for or against, the substitute decision-makers, and the patient, physician, witness and notary declarations. No clinic name or logo.

The Thai medical certificate for a job application or a government post: the physician certifies the applicant free of the five diseases in the Civil Service Commission's rules, dated in the Buddhist era. A4, or A5 from the toolbar.

Bilingual Thai / English certificate for a work permit, visa or marriage application: the physician certifies the applicant free of the six prohibited diseases (leprosy, tuberculosis, drug addiction, alcoholism, elephantiasis, third-stage syphilis). A4, or A5 from the toolbar.

Bilingual Thai / English certificate of a visit for an employer, school or insurer: chief complaint, diagnosis, the treatment given (laboratory, procedure, dressing, physical therapy, medication) and the physician's recommendation, pre-filled from the visit. A4, or A5 from the toolbar.