Documents for teleportation - 👉 CM Luxmed Lublin

Send the documentation no later than one hour before the visit.

Information regarding the processing of personal data is contained in the Privacy Policy

Name:
Name:
PESEL:
No PESEL No:
Date of birth:
Name of service / clinic:
Type of service:
Physician:
Date of visit:
Email:
Appendix:
Appendix:
Appendix:
Appendix:

	I have read the information on the processing of personal data, described in the Privacy Policy.
	I have familiarized myself with the rules of providing health services at CM Luxmed.