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+49 (176) 210 14 289
Лечение в Германии

Online treatment request

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Add files

    Inquiry sent

    Just fill in the treatment request form and we will get in touch with you as soon as possible.

    Except for your contact details and primary diagnosis you can add more information in the field “Additional info”. This may include any further medical information that you think is important as well as your age and sex, when and where you want to stay, clinic preferences etc.

    You can also attach files with the results of tests or medical history to your request.

    Feel free to call us anytime for further assistance:
    +49 (176) 210 14 289 

    Skype: medreferent

    Fields marked with an asterisk (*) are required.