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Gastroenterology Exam Appointments

Exam Appointment Request - Lisboa

Please fill in all the information required for your appointment.

Full name

Email

Contact

Date of birth

Health Number

Select the Exam

Endoscopy

Colonoscopy

Endoscopy + Colonoscopy

Rectosigmoidoscopy

I understand that the cost of €150 of anesthesia can be added to the exam when it is carried out through the SNS

I understand that the cost of €100 of anesthesia can be added to the exam when it is carried out through the SNS

Exam with sedation?

Yes

No

Have you ever been anesthetized?

Yes

No

Have you already taken this exam?

Yes

No

What is the subsystem or health insurance?

Health Insurance

National Health System (SNS)

Private

Do you have blood tests from the last 6 months?

Yes

No

Medication

Latest Blood Tests

Attach

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I declare that all the information I have provided is correct and complete.

Obrigado!

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