Ask my opinion

Do you need a consultation or a second opinion on your disease state?

Fill out the form here below, including a brief description of the problem you would like to submit to my attention. If you have past or recent exams or medical reports that can help me better understand your clinical situation, you can scan them and attach them too.
You will be contacted by return as soon as I can.
Here you can attach a medical report or an exam file to help me understand your problem. ( supported file: jpg, jpeg, png, gif, pdf, doc, docx, txt, zip ).
By sending your request, you authorize us to process your personal data according to the EU Regulation 2016/679 GDPR
Form by ChronoForms - ChronoEngine.com
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