Please fill in the Medical History Form for your medical consultation.
Fields marked (*) are compulsory
By sending Harmonia the filled patient medical form, I am confirming I have understood the terms and conditions and that a valid legal agreement is in place.
I agree to pay the deposit to Harmonia once arrangements are put in place for an initial consultation. Full Information will on be shared on receipt of the deposit, which isalready advised by Harmonia in writing to me.
As being The client, I am fully responsible for mysafe arrival to Istanbul.
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