Consultation Request

Let Us Plan the Process Together

Share your complaint and any reports you have; we will identify a suitable facility among our contracted, licensed health facilities and schedule your physician consultation.

Fill in the form; your request reaches us via WhatsApp so we can identify a suitable contracted health facility and schedule your physician consultation.

Full name *Phone *Country / CityArea of interestYour short notePlease do not upload or send detailed medical reports, imaging or test results here; the clinic collects those through its own secure channels.

I give my explicit consent, within the scope of the Privacy Notice, to the processing of the information I share about my health for the purpose of assessing my consultation request and to its sharing with contracted health facilities. Privacy Notice (KVKK) *

This form does not provide medical diagnosis or treatment. Medical assessment is carried out by the physician of our contracted, licensed health facility.

ConsultationRequest

Consultation Request