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MAY 2011
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Contact us
To make an appointment
1.
Name and Last Name *
2.
Telephone number *
3.
E-Mail
4.
Are you a regular patient from Consultorio Dr.Sartori?
Yes
No
5.
Are you asking for a first time appointment?
Yes
No
6.
What´s the reason for your consultation?
7.
Select a day for your appointment*
Click here to select a day
Office hours Monday to Friday : am 8:30 - 12:00 . pm 2:30 -7:00
8.
Select the time when you are available to come to our office *
Between
8:30 Hs.
09:00 Hs.
09:30 Hs.
10:00 Hs.
10:30 Hs.
11:00 Hs.
11:30 Hs.
14:30 Hs.
15:00 Hs.
15:30 Hs.
16:00 Hs.
16:30 Hs.
17:00 Hs.
17:30 Hs.
18:00 Hs.
18:30 Hs.
and
09:00 Hs.
09:30 Hs.
10:00 Hs.
10:30 Hs.
11:00 Hs.
11:30 Hs.
15:00 Hs.
15:30 Hs.
16:00 Hs.
16:30 Hs.
17:00 Hs.
17:30 Hs.
18:00 Hs.
18:30 Hs.
We will contact you soon to schedule and confirm the hour of your appointment.
9.
Comments:
You must fill the blanks with an asterisk (*) in order to be able to send the information.
We care about your opinion
1.
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2.
Are you..?
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PATIENT
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3.
It´s the first time I visit this web site
4.
Age
5.
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