Book a Medical Consultation

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Name *

Email *

Phone number / WhatsApp

Type of service *— Seleziona una Scelta —Telemedicine consultationIn-home doctor visit (Rome)Prescription review / refillNot sure – please advise

Current location (hotel / city)

of Type Name

Brief description of the problem *

Please briefly describe your symptoms or request. This helps assess whether telemedicine is appropriate.

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This form does not replace emergency services. For urgent or life-threatening conditions, contact local emergency services immediately.

Submitting this form does not guarantee a consultation or prescription.
All medical services are provided following clinical evaluation and Italian medical regulations.