Send an appointment request to:
Family Clinic Pipera

Reason you want the appointment:

When you want the appointment (date and time interval)**:

Required medical specialty (optional):

Doctor/therapist requested:

Other details:

I agree that my personal data sent through this form will be processed by ROmedic.ro and sent by email to Family Clinic Pipera.

I agree with ROmedic.ro confidentiality agreement and GDPR Privacy Policy.

**Attention: this is the date and time you would like the appointment. The final appointment time will be mutually agreed upon when you are contacted (within the possibilities of the office).