[et_pb_section fb_built=”1″ custom_padding_last_edited=”off|desktop” admin_label=”Contact form” module_id=”Contact” _builder_version=”4.27.4″ _module_preset=”_initial” background_image=”https:\/\/www.smdsleep-gj.com\/wp-content\/uploads\/2025\/11\/gj-bg-04.webp” custom_padding=”0px||0px||true|false” custom_padding_tablet=”25px||25px||true|false” custom_padding_phone=”20px||20px||true|false” global_colors_info=”{}”][et_pb_row column_structure=”3_5,2_5″ use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” custom_padding_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”_initial” width=”100%” width_tablet=”100%” width_phone=”90%” width_last_edited=”on|phone” max_width=”100%” custom_padding=”0px||0px||true|false” custom_padding_tablet=”0px||0px||true|false” custom_padding_phone=”0px||0px||true|false” custom_css_main_element=”max-width:100%;” global_colors_info=”{}”][et_pb_column type=”3_5″ _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”|70px|||false|false” custom_padding_tablet=”40px|60px|40px|60px|true|false” custom_padding_phone=”20px|0px|20px|0px|true|true” custom_padding_last_edited=”on|phone” custom_css_main_element=”max-width:820px;||margin:auto;” global_colors_info=”{}” custom_css_main_element_last_edited=”on|tablet” custom_css_main_element_tablet=”max-width:820px;” custom_css_main_element_phone=”max-width:820px;”][et_pb_heading title=”Better Sleep” _builder_version=”4.27.4″ _module_preset=”default” title_level=”h2″ title_font_size=”32px” hover_enabled=”0″ title_font_size_tablet=”30px” title_font_size_phone=”27px” title_font_size_last_edited=”on|phone” title_line_height_tablet=”” title_line_height_phone=”1.3em” title_line_height_last_edited=”on|phone” locked=”off” global_colors_info=”{}” sticky_enabled=”0″][\/et_pb_heading][et_pb_heading title=”for Better Health” _builder_version=”4.27.4″ _module_preset=”default” title_level=”h2″ title_font_size=”32px” custom_margin=”||15px||false|false” hover_enabled=”0″ title_font_size_tablet=”30px” title_font_size_phone=”27px” title_font_size_last_edited=”on|phone” title_line_height_tablet=”” title_line_height_phone=”1.3em” title_line_height_last_edited=”on|phone” locked=”off” global_colors_info=”{}” sticky_enabled=”0″][\/et_pb_heading][et_pb_text _builder_version=”4.27.4″ _module_preset=”_initial” custom_margin=”||15px||false|false” hover_enabled=”0″ text_font_size_tablet=”” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n
Book your sleep study today with our expert team at<\/p>\n
\u201cKanchanapisek Medical Center, Faculty of Medicine Siriraj Hospital.\u201d<\/strong><\/p>\n [\/et_pb_text][et_pb_contact_form use_spam_service=”on” recaptcha_list=”smdsleep-kinorigin|smdsleep-kinorigin-0″ email=”gjsleepcenter@gmail.com” custom_message=”You have received a message from %%Name%% with the following details:||et_pb_line_break_holder||Phone: %%Phone%%||et_pb_line_break_holder||Email: %%Email%%||et_pb_line_break_holder||Message: %%Message%%” success_message=”Thank you for your information. 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field_id=”Message” field_title=”Message*” field_type=”text” fullwidth_field=”on” _builder_version=”4.27.4″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” sticky_enabled=”0″][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/www.smdsleep-gj.com\/wp-content\/uploads\/2025\/11\/side-img-01.webp” force_fullwidth=”on” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”_initial” background_image=”https:\/\/www.smdsleep-gj.com\/wp-content\/uploads\/2025\/11\/cover-services-home-1.webp” custom_padding=”30px||30px||true|false” custom_padding_tablet=”25px||25px||true|false” custom_padding_phone=”20px||20px||true|false” global_colors_info=”{}”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”4.27.4″ _module_preset=”_initial” width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” global_colors_info=”{}”][et_pb_column type=”3_5″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_heading title=”Sleep Study Appointment” _builder_version=”4.27.4″ _module_preset=”default” title_level=”h3″ title_font_size=”32px” custom_margin=”||15px||false|false” hover_enabled=”0″ title_font_size_tablet=”30px” title_font_size_phone=”27px” title_font_size_last_edited=”on|phone” title_line_height_tablet=”” title_line_height_phone=”1.3em” title_line_height_last_edited=”on|phone” locked=”off” global_colors_info=”{}” sticky_enabled=”0″][\/et_pb_heading][et_pb_text content_tablet=”<\/p>\n \u0e41\u0e1a\u0e1a\u0e25\u0e07\u0e17\u0e30\u0e40\u0e1a\u0e35\u0e22\u0e19\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e23\u0e32\u0e22\u0e43\u0e2b\u0e21\u0e48 (\u0e01\u0e23\u0e38\u0e13\u0e32\u0e04\u0e25\u0e34\u0e01\u0e17\u0e35\u0e48\u0e19\u0e31\u0e14\u0e15\u0e23\u0e27\u0e08\u0e01\u0e32\u0e23\u0e19\u0e2d\u0e19\u0e2b\u0e25\u0e31\u0e1a) Click here<\/a><\/span><\/p>\n ” content_phone=”<\/p>\n \u0e41\u0e1a\u0e1a\u0e25\u0e07\u0e17\u0e30\u0e40\u0e1a\u0e35\u0e22\u0e19\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e23\u0e32\u0e22\u0e43\u0e2b\u0e21\u0e48 (\u0e01\u0e23\u0e38\u0e13\u0e32\u0e04\u0e25\u0e34\u0e01\u0e17\u0e35\u0e48\u0e19\u0e31\u0e14\u0e15\u0e23\u0e27\u0e08\u0e01\u0e32\u0e23\u0e19\u0e2d\u0e19\u0e2b\u0e25\u0e31\u0e1a)<\/p>\n Click here<\/span><\/p>\n ” content_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”_initial” link_font=”–et_global_heading_font|700|||||||” link_text_color=”gcid-2c39e2ae-0bdc-4c17-a31c-ae891be15508″ hover_enabled=”0″ text_font_size_tablet=”” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” global_colors_info=”{%22gcid-2c39e2ae-0bdc-4c17-a31c-ae891be15508%22:%91%22link_text_color%22%93}” sticky_enabled=”0″]New Patient Registration Form \u0e41\u0e1a\u0e1a\u0e1f\u0e2d\u0e23\u0e4c\u0e21\u0e1b\u0e23\u0e30\u0e40\u0e21\u0e34\u0e19\u0e20\u0e32\u0e27\u0e30\u0e2b\u0e22\u0e38\u0e14\u0e2b\u0e32\u0e22\u0e43\u0e08\u0e02\u0e13\u0e30\u0e2b\u0e25\u0e31\u0e1a Click here<\/a><\/span><\/p>\n ” content_phone=”<\/p>\n \u0e41\u0e1a\u0e1a\u0e1f\u0e2d\u0e23\u0e4c\u0e21\u0e1b\u0e23\u0e30\u0e40\u0e21\u0e34\u0e19\u0e20\u0e32\u0e27\u0e30\u0e2b\u0e22\u0e38\u0e14\u0e2b\u0e32\u0e22\u0e43\u0e08\u0e02\u0e13\u0e30\u0e2b\u0e25\u0e31\u0e1a<\/p>\n Click here<\/span><\/p>\n ” content_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”_initial” link_font=”–et_global_heading_font|700|||||||” link_text_color=”gcid-2c39e2ae-0bdc-4c17-a31c-ae891be15508″ hover_enabled=”0″ text_font_size_tablet=”” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” global_colors_info=”{%22gcid-2c39e2ae-0bdc-4c17-a31c-ae891be15508%22:%91%22link_text_color%22%93}” sticky_enabled=”0″]Sleep Apnea Assessment FormClick here<\/span>[\/et_pb_text][et_pb_heading title=”Pelvic Floor Muscle Training Service Appointment” _builder_version=”4.27.4″ _module_preset=”default” title_level=”h3″ title_font_size=”32px” custom_margin=”||15px||false|false” hover_enabled=”0″ title_font_size_tablet=”30px” title_font_size_phone=”27px” title_font_size_last_edited=”on|phone” title_line_height_tablet=”” title_line_height_phone=”1.3em” title_line_height_last_edited=”on|phone” locked=”off” global_colors_info=”{}” sticky_enabled=”0″][\/et_pb_heading][et_pb_text content_tablet=”<\/p>\n \u0e41\u0e1a\u0e1a\u0e25\u0e07\u0e17\u0e30\u0e40\u0e1a\u0e35\u0e22\u0e19\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e23\u0e32\u0e22\u0e43\u0e2b\u0e21\u0e48 (\u0e01\u0e23\u0e38\u0e13\u0e32\u0e04\u0e25\u0e34\u0e01\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e17\u0e35\u0e48\u0e19\u0e31\u0e14\u0e2b\u0e21\u0e32\u0e22 Kegel) Click here<\/a><\/span><\/p>\n ” content_phone=”<\/p>\n \u0e41\u0e1a\u0e1a\u0e25\u0e07\u0e17\u0e30\u0e40\u0e1a\u0e35\u0e22\u0e19\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e23\u0e32\u0e22\u0e43\u0e2b\u0e21\u0e48 (\u0e01\u0e23\u0e38\u0e13\u0e32\u0e04\u0e25\u0e34\u0e01\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e17\u0e35\u0e48\u0e19\u0e31\u0e14\u0e2b\u0e21\u0e32\u0e22 Kegel)<\/p>\n Click here<\/span><\/p>\n ” content_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”_initial” link_font=”–et_global_heading_font|700|||||||” link_text_color=”gcid-2c39e2ae-0bdc-4c17-a31c-ae891be15508″ hover_enabled=”0″ text_font_size_tablet=”” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” global_colors_info=”{%22gcid-2c39e2ae-0bdc-4c17-a31c-ae891be15508%22:%91%22link_text_color%22%93}” sticky_enabled=”0″]New Patient Registration Form
\n(Please click to schedule a sleep study appointment) Click here<\/span>[\/et_pb_text][et_pb_text content_tablet=”<\/p>\n
\n(Please click to select a Kegel appointment)Click here<\/span>[\/et_pb_text][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_heading title=”Hyperbaric Appointment” _builder_version=”4.27.4″ _module_preset=”default” title_level=”h3″ title_font_size=”32px” custom_margin=”||15px||false|false” hover_enabled=”0″ title_font_size_tablet=”30px” title_font_size_phone=”27px” title_font_size_last_edited=”on|phone” title_line_height_tablet=”” title_line_height_phone=”1.3em” title_line_height_last_edited=”on|phone” locked=”off” global_colors_info=”{}” sticky_enabled=”0″][\/et_pb_heading][et_pb_heading title=”New Patient Registration” _builder_version=”4.27.4″ _module_preset=”default” title_level=”h3″ title_font=”–et_global_body_font||||||||” title_text_color=”gcid-body-color” title_font_size=”18px” title_line_height=”1.4em” hover_enabled=”0″ title_font_size_tablet=”18px” title_font_size_phone=”16px” title_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{%22gcid-body-color%22:%91%22title_text_color%22%93}” sticky_enabled=”0″][\/et_pb_heading][et_pb_blurb title=”Call for consultation” url=”tel:0613849154″ image=”https:\/\/www.smdsleep-gj.com\/wp-content\/uploads\/2025\/11\/gj-icon-2.webp” icon_placement=”left” image_icon_width=”45px” _builder_version=”4.27.4″ _module_preset=”_initial” header_font=”–et_global_body_font||||||||” header_text_color=”gcid-body-color” header_font_size=”14px” body_font=”–et_global_heading_font|700|||||||” body_font_size=”22px” body_link_text_color=”gcid-c58e4333-7442-4cfb-b56f-5a8d4b5cbcc2″ custom_margin=”||||false|false” hover_enabled=”0″ body_font_size_tablet=”22px” body_font_size_phone=”14px” body_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{%22gcid-body-color%22:%91%22header_text_color%22%93,%22gcid-c58e4333-7442-4cfb-b56f-5a8d4b5cbcc2%22:%91%22body_link_text_color%22%93}” sticky_enabled=”0″]<\/p>\n