Name: Diabetes Telemedicine
SKU: 18337
Availability: InStock

Consultation with a diabetologist

Name and surname *

PESEL number *

Phone number *

Address *

Zip code *

City *

Reason for consultation / symptoms *

You can attach test results or a photo of your symptoms.

Attachment

Prześlij plik UPLOAD

I declare that the patient's condition, which is the reason for the consultation, does not pose a threat to his health or life. *

Categories: Basic, E-services