Registration — Romedix

Website

Package

First name

Last name

Date of birth (DD.MM.YYYY)

Sex

Phone

Address (street, postcode, city) Language for the consultation Do you currently have acute or new symptoms?

No Yes

Are you pregnant?

No Yes Not applicable

Your question (optional)
I have read the privacy policy and consent to the processing of my data, including health data, for the medical service. I understand this is a self-pay service and is not billed to basic health insurance. I accept the terms: one free reschedule up to 24 hours before; CHF 50 fee if I cancel; no refund if I cancel less than 24 hours before or do not attend.

Medical services: Dipl. med. Charalampos Romanos, Praktischer Arzt FMH. Organisation: Romedix AG, Zug.