- 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: firstname.lastname@example.org.
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