To reserve an appointment

To require an appointment fill in the fields below.

You will receive a phone call within 24 working hours to agree on the date.

It is not possible to make appointments for less than 7 working days from the request.

The date requested on this form is NOT BINDING and must be confirmed by our reception.

(Fields marked with an asterisk (*) are required).

    CHOOSE*

    Surname*

    Name*

    Postcode*

    City*

    Province

    Tel*

    E-mail*

    Address*

    Choose the item that applies to you

    I would like an appointment in the following location*:

    Preferably on: (dd/mm/yyyy) *

    Preferably at: (hh.mm) *

    PRIVACY

    The undersigned acknowledges the information notice provided pursuant to Art. 13 of Legislative Decree 196/2003 and provides consent for their personal data to be processed for the aims indicated and to be subject to communication to the parties and for the purposes stated.