Request an Appointment

Some fields are required for better service organization and billing.
Name*
*
Surname/Family Name*
*
Gender*
*
Date of Birth*
*
City of Birth*
*
State/Country of Birth*
*
Codice Fiscale [if owned]
Address (legal residence)*
*
City of Residence*
*
Country of Residence*
*
Will the consultation be at your address of legal residence?
Yes/no*
No   Yes
It is preferable to leave more than one phone number. Please leave a cell phone if you do not own a landline phone number in Italy.
Landline Phone*
*
Cell Phone
Email*
(please provide a valid email address)
Service Requested*
*
Notes
When do you prefer us to call you back *
09.30 - 12.30
12:30 - 14:30
14:30 - 18:30
18:30 - 19:30
Preferable days for the appointment (please choose at least two preferences): *
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Accept*
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Medelit: Milan’s Leading House Call Healthcare Service

Our Physicians, Psychologists, Nurses, Physiotherapists and Midwives provide high-quality, prompt and personalised healthcare directly in your Home, Hotel or Office