Medical Second Opinion

IGOR KULESHOV
Sales Manager

How could we help you? If you request medical second opinion and treatment plan please send to us your medical documents and briefly describe your complains, diagnosis and requirement.

Second Opinion Claim Form

To register, please fill in the information below.

First Name

Last Name

Your Age

E-Mail

Cell Phone

Gender

Street Address

City

Country

Postal / Zip Code

Select Health Service

Diagnosis or Nature of illness or Injury

Preferred Contact

E-Mail

Phone

Zoom

Agreement

I agree and declare that I approve the use of my information by MTS-Medical Tourism Services and unless otherwise stated by me, my contact details can be used by MTS-Medical Tourism Services for informative and promotional activities, and that I may be contacted through my contact details.

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MEDICAL TOURISM SERVICES

Medical Second Opinion

IGOR KULESHOV
Sales Manager

Second Opinion Claim Form

To register, please fill in the information below.

Contracted Hospitals:

Medical Second Opinion

IGOR KULESHOVSales Manager

Second Opinion Claim Form

To register, please fill in the information below.

Contracted Hospitals:

IGOR KULESHOV
Sales Manager