fbpx
Scroll To Top

Form submission mechanism

Make sure to put the triple name and the number in full with the state key. At Heath Laguna, we are in touch with you within 24 hours through our fast response system

1

Personal patient data

Make sure to put the triple name and the number in full with the state key. At Heath Laguna, we are in touch with you within 24 hours through our fast response system

2

Personal patient data

Make sure to put the triple name and the number in full with the state key. At Heath Laguna, we are in touch with you within 24 hours through our fast response system

3

Personal patient data

Where the patient fills out all important personal data such as name, date of birth, age, gender and nationality

1

Personal patient data

Be sure to include the full name and number along with the country key.At Health Laguna, we are keen to communicate with you within 24 hours through the rapid response system as long as you are in good health

form-en