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Inquery for treatment in Lithuania

If you want to get more detaled informatikon about possibilities of treatment in Lithuania, please fill in an inquery form bellow.:

Fields, marked * should de filled in.

Name, family name *
Date of birth * m. mėn. d.
Phone number. *
Fax.
E-mail *
Contact person
Diagnosis *
Short medical history
Arrival purpose *
Preferable arrival/staying period
Attached documents
(please kindly attache the results of recent medical examinations, statement of the deseas (if you have such). After summarising the received materials we‘ll prepare You an individual plan for medical examination and/or treatment.
Let me know approximate price for examination/treatment
Place of living (city) *

After receiving your inquery, we'll contact You for further details.

Complete confidentiality is granted therefore received information will be used for treatment organization purposes only.