Self-referral

A form that you fill in & send it to us, to get an appointment

How to do with Self-referral

1 - Download the form

Start by downloading and saving the referral to your computer.

2 - Fill in

Fill in the referral accurately, preferably via the computer.

3 - Send it

Send it to us by mail or fax it to 08-31 09 25

4 - we evaluate

It is assessed on the same terms as a referral from a doctor.

5 - an invitation

You will receive an invitation to visit a doctor by sms or mail.

6 - See you here

We look forward to meeting you at our clinic.

For more information please do not hesitate to contact us by  08-31 60 02.