New patient

Are you a new patient?

You must first complete a form collecting details about your condition before your first appointment at the clinic. We also invite you to prepare a list of medicines and/or natural and homeopathic products that you consume.

To speed up the process, we invite you to fill out the medical form at home or to present yourself 15 minutes earlier to your appointment:

Download the form (dynamic PDF)

Save the form to your computer before filling it. DO NOT FILL IT DIRECTLY IN YOUR WEB BROWSER, otherwise your information will not be saved.

Subsequently, fill out the form directly on your computer.

To submit your form

Print it out and give it to the receptionist upon arrival, along with your full list of medications.