Quick Consultation Form

STEP 01 - Treatments

STEP 02 - Medical History

     
KG
    
CM

STEP 03 - Health

!!!ATTENTION!!!

IF YOU HAVE; AIDS / HIV, HEPATITIS AND OTHER INFECTIOUS DISEASES, THYROID, DIABETES, BRONCHITIS / ASTHMA, DYSPNEA, DISEASES OF THE DIGESTIVE TRACT, KIDNEY DISEASES, CANCER, ARTERIAL HYPERTENSION, BLOOD COAGULATION (THROMBOSIS AND HEAD DISEASES MEDITERRANEAN), DEPRESSION AND NEUROLOGICAL DISEASES (EPILEPSY / CONVULSIONS) OR ANY CONDITIONS LET US KNOW FOR MORE INFORMATION!

STEP 04 - Photos

Kindly pay attention to the following samples in order to take pictures that perfectly show the areas that will be operated!

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STEP 05 - Information

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