aletschedmed

info@aletschmed.com

Phone Schwitzerland: 0041 76 416 9980

Phone China: 0086 188 3087 4990

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Application form

Dear Patient,
please fill it carefully in, be aware that we need the following records 60 days before your arrival via mail, fax or email.

Personal Information







contact Information





health Information





Terms of Use

I, the patient or their legal representative, authorize to forward relevant personal data and medical information by mail, fax or e-mail to Swiss and German Healthcare Providers.