Contact form

Fill out the form and our consultant will contact you to make an appointment. Remember that most treatments require prior consultation with a doctor.

Subject*

Preferred day of the week*

Preferred hours*

First name and last name*

Email*

Phone number*

Purpose of the visit (treatment, examination, consultation)

Attach photos

GDPR*

I consent to the processing of my personal data in accordance with our privacy policy for the purpose of sending commercial information. Providing personal information is voluntary. I have been informed that I have the right to access my data, the possibility of correcting it, and requesting the cessation of its processing. The data administrator is Klinika Osipowicz & amp; Turkowski sp.z o.o. ul. Bartycka 24B / U1, 00-716 Warsaw KRS: 0000798762 NIP: 521-387-33-64

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