FORMS

  • Privacy form: download here
  • Medical Records request form (download here):
    The request form for a copy of patient medical records can be sent by fax to 02-48705681 or by email to the following address: s.morini@casadicurasgiovanni.it.
    The applicant must arrange to make a payment of €25.00 by bank transfer made to Banca Intesa San Paolo, IBAN: IT 18G0306909563000006276176 or through an Ordinary Simple Postal Order addressed to the Casa di Cura San Giovanni, specifying, in both cases, the following reason: request for copy of medical records and the name of the applicant.
    Medical Records can also be requested directly at the Admissions Office, with corresponding payment of the €25.00 fee.
  • Proxy form for the collection of Medical Records: download here

Casa di Cura San Giovanni Srl: Via Matteo Civitali, 71 - 20148 Milano - P.Iva/Cod.Fisc.: 03181010152 - Reg. Imp. di Milano 97032 - Rea Milano 493101 - Cap.Soc. 26.000,00 € i.v. | Privacy Policy & Credits