Dear patient:

We would like to thank you for choosing 'Peking Tung Shin Tang Chinese Medical Hospital' for your disease treatment in China. Due to the particularities and unexpected factors of the situation of each patient, any judgments or consultation made with you previously are solely based on the content of the report provided by you. Therefore, your trip of receiving treatment in China is solely your personal decision.

Please be advised that Peking Tung Shin Tang Chinese Medical Hospital will not be responsible for any consequences or any medical situation subsequences after your discharge from your formalities and before your arrival at the treatment place. Nor, we will be guarantee for any medical situations including illness and safety assurance of you or your family without the supervision of our medical staff. We will be responsibility for any legal issues during the transfer. Illegal activities are not allowed during the stay in China, or we will not be held any legal liability.

Please sign here only if you understand and agree with the above.

Thank you

Peking Tung Shin Tang Chinese Medical Hospital. China
Signature: _______________