Patient’s questionnaire

Dear clients!
For your safety, EMC has established an enhanced disinfection mode.
COVID-19 test and testing for antibodies to COVID-19 at clinic and at home. COVID-19 absence certificate
Lung CT
Unique rehabilitation program for patients suffered from COVID-19.

Patient’s questionnaire

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Completing the paperwork at Your first visit to EMC takes up to 20 minutes less, it you fill out this online form. We hope this will help you manage your time wisely.
Patient’s contact details
Registration address in Russia
Identification document
Аuthorized representative
degree of relationship
Contact details
Registration address in Russia
Identification document

Do not forget to bring your identification document!

    Mobile application EMC