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Please read before using the form

  1. Thank you for using this form.
  2. Please click “submit” button only once.
  3. Do not close browser until you are redirected back to “thank you” page, or you payment might not be successful.
  4. You will receive e-mail with confirmation after submitting the form. That is your receipt.
  5. Please send only one form and check your e-mail (including SPAM folder) before assuming the payment did not go through.
  6. Transaction fee is not refundable.
  7. Privacy policy is here.
Price: €60.00
Price: €1.15

For Emergency cases

For Urgent out of hours care