Contact us via Email

Email Message with Contact info and Attachments Options

Your Family Name

Given Name

Gender – in Hungary only Male or Female Genders are officially recognized.

Male

Female

Date of Birth; Year.Month.Day

Email Address that you want to use for Urgent and Confidential Communication.

Confirm the Email Address that you want to use for Urgent and Confidential Communication.

Mobile Phone number with Country Code

Local Phone/Mobile Number

The Reason for Writing to us

File Upload – Optional. You may attach additional document copies, such as medical reports, lab or imaging testing, prescriptions, immunization cards.

Choose File (pdf, jpeg, jpg, png, bmp, gif)

I have read and agree to the General Terms and Conditions and Privacy Policy. I particularly agree that no refunds may be given for cancelled services or in cases when I was not available for the requested and scheduled visits, according to the Payment Terms and Conditions.