体检机构选择问卷

为进一步做好教职工健康关怀,学院将于近期启动2026年度全体职工体检工作。本年度提供维世达胜凯国际医疗中心与慈铭健康体检中心两家体检机构供大家选择。请与9月11日(本周五)中午12:00前完成并提交该问卷。school will soon begin the 2026 annual physical examination program. This year, you may choose from two medical facilities,Please complete and submit this questionnaire by 12:00 noon this Friday, September 11.
姓名Name
    ____________
手机号码Phone number
    ____________
你将选择以下哪所体检机构?Which of the following medical examination centers will you choose for your physical exam?
维世达胜凯国际医疗中心VISTA - SK International Medical Center
慈铭健康体检中心 Ciming Health Checkup Center
是否需为家属预约?(自费项)Do you need to make a reservation for your family members?(Self-paid Item)
是Yes
否No
请填写家属信息Please fill in the information of your family members
姓名Name    ____________
身份证号ID number    ____________
联系方式Phone number    ____________

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