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Formularz
odstąpienia od umowy

Before the service is provided, but no later than 14 days after the order is placed, the customer may withdraw from the contract. Withdrawal can be done without giving any reason. You can use the form below to make a statement. You will receive a copy of the message generated by the form at the e-mail address you provided.

If you do not want to use the form below, you can send the withdrawal statement (click to download the sample: PDF | DOCX) by mail to Balticmed Przychodnia Spółka z ograniczoną odpowiedzialnością with its registered office in Szczecin, Maciejkowa Street 64/2, 71-784 Szczecin, or by e-mail to mediwizyta@balticmed.pl.

Withdrawal form