Step 1 of 6 16% PRIVACY* I declare that I have read the ' privacy policy - purpose b) Online appointment booking. Are you exempt?*NoYesReserved for non-exempt usersAre you enrolled in the stages?*NoYesNo. position phases Do you have the commitment?*YesNo Did you choose for mini-checks?*YesNo To speed up the acceptance process, especially so as not to create queues, you can fill out the form form, specifying the date on which you intend to pick up. The form must be submitted by 3 p.m. the day before the withdrawal. For Monday acceptances, the form must be submitted by 11:30 a.m. Saturday. It is recommended that requests be sent complete and properly filled out. Accepted file extensions: *.zipper, *.rar, *.txt, *.doc, *.jpg, *.png, *.gif, *.odt, *.xml, *.pdf Maximum size per file: 10MBEmail address to which to send any communications* Name*Last name*Date of birth* Date Format: DD slash MM slash YYYY Tax code*Address*City*Province*ZIP CODE*Phone number*Requesting physician*Selected minichecks Full Women's Check - $51.00 Check woman on estroprogestin therapy - $76.00 Men's and women's generic check - $29.00 Inflammatory check - $20.00 Bowel check - €25.00 Check sexually transmitted diseases - $33.00 Check female cancer markers - $68.00 Check tumor markers man - $47.00 Osteoporosis Check - $63.00 Check man under 50 years - €27.00 Check man over 50 years - €42.00 General cardiology check - $48.00 Check for hypertensives - $44.00 Anemia screening - $65.00 Diabetes Screening - $26.00 Liver screening - $12.00 Screening lipemico - €10,00 Kidney screening - $12.00 Thyroid screening - $42.00 Date on which I intend to make the withdrawal* Date Format: DD slash MM slash YYYY IF COMPLETED FOR THE FOLLOWING DAY, MUST BE SUBMITTED BY 3 P.M.Location where I plan to conduct the examination*Bellagio - Wednesday 7:30 a.m. - 9:00 a.m.Bovisio - Tuesday 7:30 a.m. - 9:00 a.m.Brenna - Saturday 7:30 a.m. - 9:00 a.m.Caronno Pertusella - Monday through Friday 7:30 a.m. to 9:00 a.m.Cogliate - Wednesday, Thursday and Saturday 7:30 a.m. - 9:00 a.m.Meda - da Lunedì a Sabato 7:00 - 9:30Examinations to be performed*Additional examinations to be performed in addition to the mini-checksI enclose a copy of the commitment*Accepted file types: zip, rar, txt, doc, jpg, png, gif, odt, xml, pdf.Accepted extensions: zipper, rar, txt, doc, jpg, png, gif, odt, xml, pdfIf you have difficulty attaching all your pledges, please send missing pledges to analisialfa@analisialfa.itAny exams to be added to those attached Full woman check Check woman on estroprogestin therapy Male and female generic check Inflammatory check Bowel check Check sexually transmitted diseases Check female cancer markers Check male tumor markers Osteoporosis check Check man under 50 years old Check man over 50 years old Generic cardiology check Check for hypertensives Anemia screening Diabetes screening Liver screening Lipemic screening Renal screening Thyroid screening NotesMethods of access On the day of pickup, you must report to the pickup point Type the ticket "online withdrawal access" on the access totem, Check the monitor for the door number, Go to the admissions desk equipped with a commitment/exam list and health card, Make any payment, Withdraw the container with the tubes already prepared, Go to the assigned withdrawal box. Siamo spiacenti, ma il servizio è attivo solo per solventi, convenzionati FASI e paganti ticket Untitled
