Request an appointment

Instituto Oncol�gico Dr. Rosell

Request an appointment

Tumor type:

Doctor:

The physician will be assigned according to their availability and to the tumor type

Patient detail

Name:

Surname:

Insurance company:

seeking second opinion?:

Yes No

Contact details

Telephone number:

Alternative number:

Email:

I can be contacted:

	I can be contacted anytime between 09:00 and 22:00
	I prefer to be contacted between and hours

The date and time of the appointment:

Date:

	As soon as possible
	If possible

Time:

	Anytime
	Only mornings
	Only afternoons
	First thing
	Last thing
	Between and hours

The date and time of the appointment will depend on the physician's timetable..

Any other comments?

* Required fields

(In accordance with Article 5 of Law 15/1999, December 13th, Protection of Personal Data, we inform you that personal data you provide will be processed and included in files which are the property of the Oncology Institute Dr. Rosell, S.L., whose current address is Calle Sabino de Arana, 5-19, 08028 Barcelona. The collection and processing of personal data is carried out in order to address your request for information. You may exercise your rights of access, rectification, cancellation and opposition by writing to the above address.)

Sections

Multimedia

Get the Flash Player to see this player.