Book your first appointment

Please fill in the form and send it.

You'll receive an email from us with an appointment proposal.

Last name*

First name*

Date of birth*

Email *

Mobile *

Preferred days for your first appointment *

 Monday Tuesday Wednesday Thursday Friday

Preferred daytime *

 08.30-10.30 10.30-12.30 13.30-15.30 15.30-17.30

Would you like to book the first visit for another person too?*

 yes no

If you answered YES, please fill in the following information about the other patient:

Last name

First name

Date of birth

Info about booking request: