To book a visit and enjoy the low costs you have to fill in the following form.
         Our specialists will give you an approximate cost. Please take your time to fill
         in the form an we'll immediately send you all the necessary information.

        

      
   

 

 

 

 

 
First name
Last name
Adress
Zip code
City
Telephone home
Mobil phone
e-mail
Treatment needed:
basic treatment prosthetics 
Date of the visit
Describe shortly your problem
Hotel