Become a patient

Fill out the form and become a patient of the Nefrida clinic. It will take you up to 3 minutes!

Request for treatment at the clinic

I *

Personal code *

Address *

Phone *

Email *

Part I. Primary personal health care

Please add me to the list of people served by Nefridos Klinika, UAB to a doctor: * *

You can make an appointment with other family doctors, other than those mentioned above, only after prior agreement with the family doctor.

Part II. Primary mental health care

Personal signature (sign using the mouse in the box below) *