For employees
CS
EN
About MMCI
For Patients
For Specialists
Career
Contacts
search
menu
Organization
About Us
Headquarters
European Reference Networks
News
Information
Mailroom
GDPR
How to Get Here
How to Book an Appointment?
Public Transport
Parking
Plan
Support MMCI
Before Your Visit
Centers for Diagnostics and Treatment
How to Book an Appointment?
Care and Services
Hospitalization
Foreign Nationals and Self-payers
Price Lists
Ombudsman
MMCI Workplaces
Medical Workplaces
Other
All About Prevention
Science and Research
Phase I Unit
RECAMO
Bank of Biological Material
About MMCI
Organization
About Us
Headquarters
European Reference Networks
News
Information
Mailroom
GDPR
How to Get Here
How to Book an Appointment?
Public Transport
Parking
Plan
Support MMCI
For Patients
Before Your Visit
Centers for Diagnostics and Treatment
How to Book an Appointment?
Care and Services
Hospitalization
Foreign Nationals and Self-payers
Price Lists
Ombudsman
MMCI Workplaces
Medical Workplaces
Other
All About Prevention
For Specialists
Science and Research
Phase I Unit
RECAMO
Bank of Biological Material
Career
Contacts
For employees
Home
→
Consultation of a foreign patient
Patient Appointment Form
Request for consultation of a foreign patient in the outpatient clinic
First name
Last name
Birth date
E-mail
Phone number
Residential address in the Czech Republic
Nationality
Address of permanent residence
Passport number
Diagnosis
I confirm that I am a newly diagnosed cancer patient.
Ochrana proti spamu
You May Also Be Interested In...
Foreign nationals and self-payers
Free Cancer Helpline
Monday – Friday from 7.30 AM to 3.00 PM
(+420)
800 222 322
Loading...
For employees
Pošta MOÚ
Objednání stravy
Intranet
Kodex firemní kultury MOÚ