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Request for treatment

Please complete this form to request an appointment or information about child and maternal treatment options at SJD Barcelona Children's Hospital. We will review your request and answer you as soon as possible.

Fields with * are mandatory
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Details of the contact person
Patient details
Please tick the language in which you would like us to contact you.
What do you hope to obtain from our centre?
Patient medical information
Specialist medical areas which have assessed the case previously. Example: Oncology
Medical report and results of additional tests and images (X-rays, scanners, etc.)
  • Please attach the report in English, Spanish or Catalan.
  • Important: please attach a medical report and results of recent tests so that our specialists can assess the case properly and as quickly as possible.
medical file
Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png txt pdf doc ppt pptx.