Check-up : Prendre rendez-vous

Please fill in the form below. Mark in the correspondent box 3 chosen dates for your check-up with preference order. We will do our best to satisfy your request at our earliest convenience.

The interested service will contact you via e-mail or telephone to confirm your appointments just after form’s reception.

Desired date of the check-up (JJ/MM/AA):
Type of check-up required :
 

The clinic reserves the right to not answer any incomplete request. Please verify your entered telephone number as well as your e-mail address.

All provided information are strictly confidential: you can change it at any time by contacting the clinic via telephone or e-mail.