Order

Personal data

Procedures


Do you have a valid passport? YesNo

When considering your medical treatment, what kind of additional service do you expected from us (you will pay the service itself but not our work in arranging in)?

Visa service YesNo

Arranging travel ticket YesNo

Arranging hotel / accomodation YesNo

Nonstop call assistance YesNo

Arranging personal assistant in the destination YesNo

Arranging car with local driver YesNo

Personal Sightseeing Tour YesNo

Program for a family member YesNo



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I agree to the Terms and Conditions* Yes

By submitting this form you agree to the processing of your personal data by ROYAL MEDICAL within the meaning of Article 4 (paragraph 7) of the Regulation 2016/679 of the European Parliament and of the EU Council from 27 April 2016 on the protection of individuals with regard to the processing of personal data and free movement of such data (hereinafter referred to as "GDPR").