TAp DoAN VINGROUP QUY THI~N TAM CQNG HOA xa HQI CHi; NGHiA VI~T DQc I~p - Tl}' do - Hanh phuc NAM S6:.~.r..- CV/2016-QTT V/v: Quy Thien Tam tai tro phdu thudt tai h thong Benh vien Da khoa Quoc d Vinmec Ha N(Ji, ngay thong 10 nam 2016 '..!.~~JHVifNHAmANG Kinh giri: 'ban 0lCY11 do(""- W? lf~n, 1iL~ MIv.i«grfu::;,lip,!;: ~ " v ~ n.;j~':;::cjb.":::u Thi~n Tam (thuoc T~p doan Vingroup) xin giri tai Quy B~nD vien IO'i chuc 1 - ~ n"sli"c"kh"ae' a IO'ichao tran trong nhat. QUy Thien Tam la mot t6 chirc tir thien - xii hqi thuoc Tap do an Vingroup, heat dong phi IQ'inhuan voi nhiern vu xay dung, trien khai cac chuang trinh nhan dao, tir thien va van hoa... Tir khi thanh I~p van narn 2006 d~n nay, m6i nam Quy deu dii trien khai r~t nhieu cac h01;1tdong tai tro cho cac dia phuong trong toan quoc voi nhieu linh V\IC: An sinh xa hoi, x6a doi giam ngheo, d~n an dap nghia, phong chong thien tai, xay dung cac cong trinh y t~, giao due, van h6a... voi t6ng s5 tien tai tro hang narn len tai tren 1.000 ty dong. Trong k~ hoach h01;1tdong nam 2016-2017, voi muc dich h6 tro mot phan cho cac benh nhan ngheo, nguoi c6 cong voi each mang diroc ph~u thuat tai h~ thong Benh vien Da khoa Quoc t~ Vinmec tren toan quoc (bao gorn cac Benh vien Vinmec tai Ha NQi, H~ Long, Nha Trang, Phu Quoc, TP. H6 Chi Minh), Quy Thien Tam ti~p tuc danh ngan sach d~ thuc hien "Chuang trinh tu thien 300 ty dong, h6 tro phau thuat tai cac chuyen khoa tien tien nhat cua h~ thong Benh vien da khoa Quoc t~ Vinmec". (Chi tdt Danh muc kjj thudt y d duoc h6 tro theo chuang trinh tai m6i benh vien gui kern theo win ban). D~ vice lam y nghia nay phat huy hicu qua thiet thuc nhat, danh cho dung doi nrong, Quy Thien Tam r~t mong nhan duoc SIJ phoi hop va tao di~u kien h6 tro cua Quy Benh vien trong viec hra chon nhirng benh nhan phu hop tieu chi cua chuang trinh d~ gioi thieu chuyen benh nhan tai Quy Thien Tam. Quy Thien Tam r~t tin tuong, SIJ hop tac, giup do' cua Quy Benh vien se khong nhirng dern lai thanh cong, hieu qua t5t dep cho Chuang trinh rna con la nguon dong vien, c6 vu Ian d5i voi nhtrng h01;1tdong mang tinh cong dong cua chung toi. Xin tran trong earn an! NO'i nh~n: - Nhu kinh gui; - Lu'U QTT. QUY THI~N IooUJl tnul v ro-.l.jo C T A~~
Tai li~u gih kern: Phu luc 01- Danh muc ky thuat y ts duoc h6 tro Phu luc 02- M~u dang ky, Quy dinh v~ h6 so Dia chi va thong tin lien lac cua Quy Thien Tam - T~p doan Vingroup: - Dia chi: sf> 7 dirong Bing Lang 1, phuong Viet Hung, quan Long Bien, Ha Noi - Email cuachuangtrinh:quythientam@vinmec.com - sf> dien thoai hotline: 0934 651 926....
c!) H{fONG DAN GUI HO so (Chuong trinh tu' thi~n- Quy Thi~n Tam)... -------- * **--------- I. Bai hr9'ng 1. Benh nhan ngheo. 2. Nguoi co cong voi each mang: (Lao thanh each mang, Ba me Vi~t Nam Anh hung, Thuong benh binh, Nguoi duoc huang ch~ d<)nhu thuong binh) II. Yeu du ha so' Benh nhan giri cac gi~y to nhu huang d n duoi day vs cho chuang trinh theo dia chi: Chuang trinh Quji Thifn Tam, Cdng ty cj phtm Bfnh vifn Du khou Quae d VINMEC. Dia chi: 458 Minh Khai, Vinh Tuy, Hai Ba Trung, u«n(ji Difn tho(li: 0934 651 926 Email: quythientam@vinmec.com - - HA so gili v~ cho chuong trinh STT Cae giay tir yeu cau B~nh nhan Bai hrqng Dai tuong cho B~nh vi~n HI) ngheo NgU'M co cong voi each mang Vinmec khi d~n kharn HA so Quy~n lqi HA so' Quy~n lqi. nqp Dan dang ky theo m u ( Phu 1 luc 01 dlnh kern) 2 Chung minh nhan dan Ban scan, ho~c Ban scan, ho~c ban ban photocopy photocopy Ban g6c Ban sao cong chimg 3 S6 hq khdu Ban sao cong chimg Ban scan hoac Ban photocopy nop. Ban scan hoac photocopy 4 TheBHYT photocopy the ban chinh ds d6i the BHYT BHYT chieu Ban scan/ Photocopy ho~c gifiy to clurng nh~n la Ban scan ho~c ban thuong binh.benh binh, Duoc h6 Gi~y chirng nh~n, gi~y xac photocopy s6 hq 5 tro 70% Duoc h6 tro 100% nguoi huang chinh sach nhir Ban sao cong chimg nh~n ngheo, chirng nhan vien phi (Bao gorn thirong binh, Lao thanh vien phi hq ngheo Thu6c va VTTH) each mang, Ba me Vi~t nam (Bao gom Anh hung Thu6c va VTTH) H6 sa benh an co thong tin chi dinh ph u thuat bao g6m: 1. Thong tin vs tisn sir benh, 6 2. Thong tin benh sir. Ban scan, hoac Ban scan, hoac ban 3. K~t qua tham kham, ch~n ban photocopy photocopy doan (H6 sa benh an). Ban photocopy 4. K~t qua c~n lam sang (Xet nghiem, Chdn doan hlnh anh),,.. -- The
c!) QUV THl. N T.\M DANH MT,JCKY THU~ T CHUYEN MON TRONG CHU'ONG TRiNH TlJ' THI~N - QUY THI~N TAM Thu'c hi~n tl.li B~nh vi~n VINMEC TIMES CITY ( 458 Minh Khai, Vi'nh Tuy, Hai Ba Trung, n«n9i Te/:0934 651926, Fax: 0439743557, Emai/: quythienlam@vinmec.com) * * *--------- STT Ten djch vi} k)' thu,t I. TIM M~CH A Ng0l.li Tim mach va Ph u thu,t IBng ngu'c I D9ng mach chu 2 M6 tim bllm sinh va Van. 3 Benh ly mach mau ngoai bien 4 Benh l6ng nguc, u phoi, u trung th~t 5 M6 b~c du CABG, D9ng mach vanh B Can thi~p tim mach (1 Stent) I Chup va can thiep mach vanh 2 Chup va can thi~p mach mau nao (Dong mach canh, d9ng rnach dbt sbng ngoai S9 va trong S9) 3 Thay van d9ng rnach chu qua da (TAVI) 4 Bit du Tim b m sinh (bit thong lien nhi, thong lien that, con 6ng dong rnach) 5 Can thiep n9i mach d~t Stent Graft D9ng rnach chu trong di u tr] cac benh Iy v Dong mach chu nguc, d9ng rnach chu bung. 6 c.1y may tao nhjp tim vinh visn n. UNG BU'OU A I Ung thu'nhi U nguyen bao than kinh 2 U nguyen bao Gan 3 U nguyen bao vong rnac B Ung thir nguoi loll 1 U Lympho 2 Ung thtr vu 3 Ung thtr Phu khoa ;- 4 Ung thir duong tieu hoa (Ong tieu hoa va Gan Mat T\lY) 5 Phat trien kythuat xa tr] moi: Xa phdu khung c6 dinh than (SBRT), Xa tr] d6ng b9 hoa theo nhip tho. III. Y HQC TAl T~O 1 BN Ghep TBG Di u tr] teo m~t
2 Ghep TBO f)i~u tri R6i loan CCJ th~t sau m6 thoat vi rnang nao tuy 3 Ghep TBO f)i~u tri R6i loan thdn kinh ruqt 4 Ghep TBO f)i~u trj loan san ph6i Sa sinh 5 Ghep TBO f)i~u tr] Benh ph6i t~c nghen COPD 6 Ohep TBO f)i~u trj Nh6i mau nao 7 Ghep TBO f)i~u tri Benh Thalassemia 8 Ohep TB Mi~n dich 9 Ghep TBO f)i~u tri B\\i nao 10 Ghep TBO di~u tri xo gan do nrou 11 Ghep TBO di~u tri tl,l'ki 12 Ghep TBO di~u tr] ti~u duong IV. GHEP T~NG I Ghep th~n 2 Ghep Oan
QU\' THU):N TAM MAU BON DANG KY (Danh eho cae a6i tuong khac) --------- * * * --------- HQ va ten: Ngay thang nam sinh: So CMND hoac HQ chieu: Gioi tinh: Ngay cap: Noi cap: Gin nang: HQ khau thirong tru: Dia chi hien tai: So di~n thoai So the Bao hiem y te (n u co): Loai benh (theo ch~n dean): Hoan canh bi benh: Ten Benh vien/co sa Y t (neu ten & dja chi): Ti~u Slr benh da,tirng dieu tri, cac thuoc da/ dang Slr dung: Tinh trang benh hien nay: Hoan canh kinh te... NgU'o; lam don (Ky & ghi ro h{j ten)