Information about check-ups

Information request form

Please fill out the form below to proceed with your inquiry about the Long Life Formula and preventive and predictive medicine check-ups.

Personal data
First name *
Last name *
E-mail *
Telephone
Information and bookings
Select a check-up *
Date of arrival *
Date of departure *
Do you have supplementary insurance? *
Yes
No
If yes, please indicate which one:
Message or additional requests
Privacy Authorization
I authorize the processing of my personal data in accordance with the information provided in the privacy policy *
For information on personal data please see our Privacy