seek online consultation - The Circle Care

PERSONAL INFORMATION

Your Name *

First

Last

Your gender *

Male
Female

Date of birth

Phone *

please do not forget to write your country code

Email *

MEDICAL INFORMATION

what are you looking for *

medical treatment
check up
other

please specify below your exact case (in your own language)

current medical condition or diagnosis *

Your privacy is of high importance for us. By sending this form you agree with our privacy statement and you agree that the data you provide will be collected and stored electronically. Your data will be used only strictly for processing and answering your request.

have you been diagnosed

Yes
No
Seeking second opinion

please upload revelant medical file

Click or drag files to this area to upload. You can upload up to 3 files.

please upload your diagnosis files in jpeg, PDF

The Circle Care Facilitator have a user friendly website with easily filled forms, providing advanced quotations and pre online consultations for major surgeries… we efficiently handle our calls

HOW CAN WE HELP

We have ready-made Patient’s Bundled Packages. We also provide you with signed

contracts: a smart way to protect you and your family, from any frauds or misconduct.

2. We partner with trusted affiliations to build credibility, with only accredited hospitals and other businesses, as proof of quality and legitimacy.

·we check out the medical subspecialties at the facility.

·we check physicians accreditations and reputation.

·we research the hospital’s reputation among the local residents and previous patients.

3. We choose the right hospital and doctor, on your behalf, to increase successful

outcomes with due diligence:

4. We fulfill your needs to be located near the hospital , book you a hotel orapartment not

too far away from the medical facility in case of a medical emergency or just for convenience sake.