Weβre here to help you access world-class medical care in Poland. To provide you with the best options, please fill out the following details:
Personal Information
πΉ Full Name
πΉ Country of Residence
Medical Information
β¦ Health Concerns β Please describe your condition in detail, including diagnoses, previous treatments, and the care you are seeking.
β¦ Medical Tests β Have you undergone any tests related to your condition? If so, do you have the results available?
β¦ Additional Information β Any other relevant details youβd like to share?
Treatment Preferences
π
Preferred Treatment Date β When would you like to have the procedure?
π¦Ύ Post-Surgery Physiotherapy β If relevant, would you like to undergo physiotherapy in Poland after your surgery?
πPrivacy & Data Protection Notice (GDPR Compliance)
To ensure compliance with data protection regulations (GDPR), we kindly ask all patients to include the following consent statement in their email when contacting us regarding medical tourism services:
Patient Consent Statement:
I hereby consent to the processing of my personal and medical data by MediTrip Poland for the purpose of facilitating medical tourism services, including consultation with healthcare providers, coordination of treatment, and logistical arrangements. I understand that my data may be shared with relevant medical professionals and healthcare institutions solely for the purpose of assessing my case and arranging medical services. I also consent to being contacted by MediTrip Poland regarding my medical inquiry. I confirm that I have read and understood this statement, and I acknowledge my rights under applicable data protection laws, including the right to withdraw my consent at any time by contacting MediTrip Poland.
πPlease ensure that the above consent statement is included in your email to us. Without this consent, we will not be able to process your request.
π© Submit Your Inquiry
Please email your details to [email protected], and our team will get back to you within a few days.