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Free online personal advice

This site can only give you general information and is not intended to replace a person to person consultation. However we would like to offer you our opinion about your specific request. To help us, please fill out this form and send it back to us, either via fax.

It is possible, if you wish, to upload pictures and/or your medical files.

We answer our e-mails within 3 to 5 working days. If you have not received a reply during this time, please contact us again by e-mail or by phone. Sometimes e-mails do not reach us.

Marly-Ann Spronken - CEO Wellness Kliniek

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Personal details
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General Condition

Cosmetic plastic surgery should be low risk surgery. Therefore to give us a better idea of your current health condition please fill this in to the best of your abilities.

 
Date of Birth: dd/mm/yyyy
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Are you permanently or temporarily on any sort of medication, if so which sort and why?

Do you have any type of allergy, if so explain.

Do you currently have or have recently had any sort of serious medical conditions / interventions such as: surgeries, treatments, disease and if so explain.
 

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It is possible, if you wish, to upload pictures and/or your medical files.

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Premium Private Health Care in Belgium

iso9001 & iso14001 The Wellness Kliniek Belgium is a licensed Health Care Hospital. Our surgeons are fully trained in their aesthetic specialty. Wellness Kliniek Genk, Limburg, disposes of cabinets for aesthetic dental treatments, theatre rooms equipped with high-tech equipment for surgery and recovery care.

Wellness Kliniek Belgium carries the international standards organization quality certificate ISO 9001 & 14001 for all its medical and surgical activities. Read more on how to make a safe choice

Wellness Kliniek, Grotestraat 42, 3600 Genk - Belgium l CALL US from Belgium: 089 329 500 - from Abroad: 0032 89 329 500  | Contact
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Free Personal Advice