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Time *

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Medical concern or request

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Patient's information

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Last Name *

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Email *

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Remark:: There's no guarantee for fixed result and outcome was uncertainty depend on individual

List of doctors *

Time

Sunday 13.00-16.00 (Only on the 2nd and 3rd week of the month)

* please completed important data
Remark:: There's no guarantee for fixed result and outcome was uncertainty depend on individual