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Request Medical Evaluation

Dear Patient, you can submit your personal health situation to our attention, using this appropriate data collection form and attaching all the possible results of analyzes and exams already in your possession.

Our team will meet at no charge, to evaluate your documentation, in order to understand if our structure is able to provide concrete help to all effect and, if so, which professionals of our technical team, based on their specific skills, should be in charge of following you on your route.

Once this has been defined, our Information and Consultancy Manager will contact you to explain what our first meeting might consist of, complete of all details, including the duration of visits and costs.

At this point, if you decide to want to set a first visit at our facility, you can check our availability in our agenda with the Reservations Manager.


If you possess analysis or medical checks of your issues, please attach them here.
(max. 5 file, max. 3MB for a singel file)

In compliance with the art. 13 of the GDPR 679/2016 and our corporate Privacy Policy, we inform you that by submitting this form you authorize Biomedic to process personal data contained in the form itself in the manner and terms of the information provided.

I declare to have read and acknowledged the Privacy Policy (open in a new window).