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東華三院 - 香港大學吸煙人士健康同行計劃
TWGHs - HKU Health Companion Programme for Smokers

請完成以下表格,東華三院的團隊將儘速與您取得聯絡,謝謝!我們設有3個服務地點,並特設晚間服務以切合上班族的需求。如您對「香港大學吸煙人士健康同行計劃」有任何問題,歡迎致電 或 WhatsApp 9138 8736與我們的團隊聯絡。

Please fill out the following form. Tung Wah Group of Hospitals team will contact you as soon as possible. Thank you! We have three service points with evening sessions specially designed to accommodate the needs of working individuals. If you have any questions about the “HKU Health Companion Programme for Smokers”, please contact our team by phone or WhatsApp at 9138 8736.

* 表示必填問題 Indicates required question

請填寫稱呼。(Please fill in your name.)
請選擇性別。(Please select your sex.)
請填寫電話號碼。(Please fill in your phone number.)
請選擇方便聯絡時間。(Please select the Convenient contact time)
請選擇 Please select
    請選擇首選服務地點。(Please select your preferred service point.)
    請填寫驗證碼。(Please fill in the captcha.)
    1. 年齡介乎 50–79 歲
    Aged between 50 and 79 years old
    2. 吸煙量達 20「包年」 或以上*
    Have a smoking history of 20 pack-years* or more
    3. 為現時吸煙者,或過去 10 年內已戒煙的前吸煙者
    Are a current smoker, or a former smoker who quit within the past 10 years
    4. 未曾被診斷患有肺癌或發現肺部結節
    Have never been diagnosed with lung cancer or lung nodules
    5. 願意接受胸部低劑量電腦斷層掃瞄
    Are willing to undergo a low-dose chest computed tomography (LDCT) scan

    清除表格 / Clear Form