Etropal Beta Online Form

Dialysis Center Etropal Beta, Ivan Vazov Str. 11, Nessebar, Bulgaria phone/fax: +35955444230, mobile: +359899992802 email: holiday_dialysis@dir.bg

Contact Person for Dialysis (patient): * First Last
Write your name here. Please mind that all fields with * must be filled.
Address, phone, mobile: *
Email *

Write your email address here.
Number of Dialysis: *
Term to conducting dialysis (from date to date): *
Dialysis shifts: morning (starting at 8.00) afternoon (starting at 13.00)
Dialysis days: Mo/We/Fr Tu/Th/Sa
Remarks:
Other
Vascular access: AV fistula Venous Catheter (Seldinger) Single Needle Other
Facility food and drink options: breakfast coffee tea beverages
Entertainment options: TV radio magazines
Hotel accommodation: Yes No
Transfers: from the hotel to the clinic from the clinic to the hotel
Price per treatment: On individual agreement according to dialysis specifics (average price 189 €).
Payment method: *
Doctor and Nursing staff: English speaking German speaking Russian speaking
Remarks:
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