Please fill out a short order form:

  I agree with the processing of personal data for the company Gyn Krup Inc. for ordering.

  I am not a client of Gyn Krup Inc.



Please, note:
Sending a request does not mean booking! It is necessary to wait for a confirmation e‑mail from the outpatient clinic or you can confirm the appointment by phone. This form is for new clients only. If you have your ID number and permanent client password, please, use our information system or make your appointment by phone or e‑mail.