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phone: +420 581 602 700
info@nordinace.cz
NORDINACE s.r.o.
MUDr. Norbert Cibiček, Ph.D.
NORDINACE s.r.o.
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PATIENT
First name
*
Surname
*
Year of birth
*
*
Contact
*
email
phone
how can we contact you if needed?
Phone number
we do NOT send any automatic confirmation
Email
fill in your email address @
a confirmation message will be sent to this email address
APPOINTMENT
Reason for visit
*
- Select a value -
disease
control examination
preventive examination
occupational health inspection (entry, periodical, extraordinary, exit)
other reason
write another reason or clarification in the comment section below
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APPOINTMENT TIME
first select a week, then you can choose from the available dates
Week
*
- Select a value -
week from Dec 11, 2023 to Dec 15, 2023
week from Dec 18, 2023 to Dec 22, 2023
week from Jan 1, 2024 to Jan 5, 2024
week from Jan 8, 2024 to Jan 12, 2024
week from Jan 15, 2024 to Jan 19, 2024
week from Jan 22, 2024 to Jan 26, 2024
week from Jan 29, 2024 to Feb 2, 2024
Date and time
*
- Select a value -
dates to choose from are only visible when:
you have entered the
Reason for the visit
you have selected
Week
at least some dates in the selected week are free
CONSENT
Confirm
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By submitting the form, you consent to the processing of personal data contained in the form.
In accordance with the GDPR, this data will be used exclusively for the purposes of planning visits to this office and will not be provided to third parties.
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Main menu
Home
Currently
Prescriptions
Appointments
Services
Prices
Insurance
About us
Contact
FAQ
Write us
by Dr. Radut