To book your holiday, fill in the form and we’ll contact you as soon as possible. Thank you.
 
Name and Surname:    
Town/country of origin:    
Holiday period:  

from: 

to:   
Favoured holiday location:    
Number of sections:    
Dialysis kind (standard, HDF on line, etc.):    
Preferred time:    Morning:  Afternoon:   
E-mail:    
Telephone number:    
Enquiry:  

 
Privacy:  


I fully accept the privacy policy above.

 
                 

We hereby inform you that all personal data will be managed in compliance with the Italian Privacy Policy (D.Lgs. 196/2003). They will be used only to allow patients to access restricted areas of this web site and to book a certain number of dialysis treatments at Servizi Sanitari Alcamesi s.r.l.

 

 

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