中大醫學院「關懷健康大行動」報名表格
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感謝閣下踴躍參與由中大醫學院舉辦之「關懷健康大行動」，以鼓勵市民定期身體檢查，樹立健康楷模，並能及早察覺有否患上「長新冠」的病徵。
請填妥以下資料以方便我們聯絡閣下。為保障閣下私隱，所有資料將會絕對嚴格保密。資料只供活動聯絡人使用，除非閣下願意參與日後有關計劃，否則所有網上資料用後將會銷毀。
Thank you for your interest in this Health Care Programme organised by the Faculty of Medicine of CUHK, which aims to encourage citizens to receive regular health assessment, establish health role models, and identify symptoms of "long COVID" by early detection.
Please provide the following information so we may contact you. To provide your privacy, all collected information will be kept confidential. The information can only be accessed and used by the programme organisers. Unless you are interested to join the future activities, all information would be deleted after the end of the programme
請填妥以下資料以方便我們聯絡閣下。為保障閣下私隱，所有資料將會絕對嚴格保密。資料只供活動聯絡人使用，除非閣下願意參與日後有關計劃，否則所有網上資料用後將會銷毀。
Thank you for your interest in this Health Care Programme organised by the Faculty of Medicine of CUHK, which aims to encourage citizens to receive regular health assessment, establish health role models, and identify symptoms of "long COVID" by early detection.
Please provide the following information so we may contact you. To provide your privacy, all collected information will be kept confidential. The information can only be accessed and used by the programme organisers. Unless you are interested to join the future activities, all information would be deleted after the end of the programme