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Consultation with a diabetologist
Patient information
Name and surname
*
PESEL number
*
Phone number
*
Address
*
Zip code
*
City
*
Voivodeship
*
Select an option
dolnośląskie
kujawsko-pomorskie
lubelskie
lubuskie
łódzkie
małopolskie
mazowieckie
opolskie
podkarpackie
podlaskie
pomorskie
śląskie
świętokrzyskie
warmińsko-mazurskie
wielkopolskie
zachodniopomorskie
Reason for consultation / symptoms
Reason for consultation / symptoms
*
Attachment
You can attach test results or a photo of your symptoms.
Attachment
Prześlij plik
UPLOAD
Statement
I declare that the patient's condition, which is the reason for the consultation, does not pose a threat to his health or life.
*
Product price:
250,00
zł
Total options:
Order total:
Diabetes Telemedicine quantity
Add to cart
Categories:
Basic
,
E-services
Close Menu
Start
About us
Doctors
Offer
Home visits
General practitioner
Paediatrician
Internist
Nurse
Midwife
Telemedicine
Diabetes Telemedicine
Diagnostics
Price list
Contact
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