Online Eye Health Consultation

ophthalmological video consultation
Book an appointment. Tell us what date and time you prefer

     

    Personal Data
    ID / Passport photograph
    Attach photo of your ID document
    Patient data
    ID/Passport photograph
    Please attach a copy of the patient's identity card. In case the patient is a minor, you must also attach the document that certifies you as the legal guardian.
    Medical / Ophthalmological data
    General medical history (non ophthalmological)
    Please complete the following questionnaire with all information you know
    Ophthalmologic history
    Please complete the following questionnaire with the information you know
    Invoicing details
    Reports
    You can send us old evidence as additional information, but we advise you to add evidence with a recent date (preferably not more than 30 days), since we cannot guarantee a reliable orientation based on older evidence.

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