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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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