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REHABILITATION OF PATIENTS WITH CEREBRAL PALSY (CP)
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Registration for treatment

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Updated: 26.01.2009


Registration for treatment


Step 1/2:

Patient Information







Complete Address









Additional Contact Information



 





Dates of treatment



Schedule of the treatment sessions is here
Please inform us later about your flight, so we could meet you in the airport.

Travel Companions


Full name Date of birth (dd/mm/yy) Address (if differs from patient's)













Accommodations


Type of the room Number



Accommodations in the clinic are described here

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