Portal del paciente - New user registration

Please register in order to enjoy our services

Fill in the following form and send it off.

You will receive the access password by SMS

On your first access you will be able to change the password

These are the details you will use to log on the Patient Portal

You will be able to register patients under tutelage once you are logged on

Name (*)

Surname (1) (*)

Surname (2)

If you have a second surname, please specify.

Date of birth (*)

Gender (*)

Male

Female

Type of identity document (*)

ID number (*)

Example: 012345678Z

Mobile phone (*)

Email (*)

You will use this email to enter your account.

I have read and accept the Privacy Policy and Terms of Use and I declare that I am over 16 years old *

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