This is the name we will use at the clinic
We will send you the identification code to this e-mail address, so you can modify your appointment in case of need.
We will notify you at this number, in case we are unable to receive you.
Lakcím/Cég neve (foglalkozás egészségügyi vizsgálathoz)
The clinic needs this information for appointment booking.
Should be at least 8 characters and should contain at least one small and capital letter and a number.
Your e-mail address:
Thank you for your feedback!