APPOINTMENT SCHEDULING VIA EMAIL Reservation Form Customer Service Hours Phone: PBX 602 385 0285 Monday to Saturday: 7:00 a.m. / 6:00 p.m. Open Sundays and Holidays: 9:00 a.m. – 6:00 p.m. Please enable JavaScript in your browser to complete this form. Full name *Document Number *Phone number *Email *EmailConfirm Email Upload copy of the document *Upload Medical Order *Valid Authorization *Type of appointment *Orthopedics and TraumatologyPlastic SurgeryNeurosurgeryGeneral SurgeryOral and Maxillofacial SurgeryVascular SurgeryPalliative CarePeripheral Vascular SurgeryGastroenterologyNeurologyCardiologyUrologyOtolaryngology (ENT)AnesthesiologyPulmonologyCardiovascular SurgeryEndoscopiesColonoscopiesCardiac CatheterizationPharyngographyEsophagramUrethrocystographyUpper GI X-ray (Digestive Tract Imaging)UrodynamicsColposcopiesAuthorization for the Processing of Personal Data *I accept the terms and conditions View Personal Data Processing Policy Send Post Views: 25