Scheduling - Ambulatório de Saúde Mental

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Ambulatório de Saúde Mental

Appointment Data

Schedule:

Instructions

A consulta de telemedicina é realizada por videoconferência.
Após o agendamento, você receberá todas as instruções necessárias para a confirmação da consulta.
As receitas médicas emitidas serão enviadas diretamente pelo WhatsApp.

Service*

Day*

Time*

Additional Information

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Personal Data

Full Name*

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E-mail*

Phone*

Date of Birth*

Additional Info

I declare that I am aware and agree that my personal data is being collected for the purpose of scheduling an appointment and will be stored, used, and disposed of in accordance with the Terms and the Privacy Policy, always respecting information security regulations.

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