After your registration our colleague will call you back on phone.
Name:
Age:
Address:
Phone/Email:
What is your
complaint?
Urgency
Yearly controll
Fillings
Bridges/protheses
Else
Which doctor do you
choose?
Dr. Rácz László
Dr. Ligetes Melinda (on maternity leave)
Dr. Németh Klára
When are you able
to come?
Anything else to
append: