Online Registration

please fill in the registration details. Items marked with an asterisk are mandatory.
for non-Czech nationals (ie Czech Republic): Please provide the Birth no. of the insured person, which can be found on your insurance card. Thank you!

Birth/Insurance Number*
(without slash)
Name*
First Last
Phone*
Email*
Residence Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Address of temporary residence:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Your current attending physician:
Note/Message
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Opening Hours For clinic In Prague 4

Ordinační hodiny Od 01.05.2019

PRO NEOBJEDNANÉ PRO ZVANÉ

(Patient without appointment) (With appointment only)

Po 12:30 – 17:00 17:00 – 19:30

Út 07:30 – 12:00 12:00 – 15:00

St 07:00 – 12:00 12:00 – 15:00

Čt 13:00 – 17:00 17:00 – 19:00

Pá 07:30 – 12:00 12:00 – 14:00

*** Posledního pacienta bereme 30 min. před skončením

ordinační doby.

( Last patient will be taken min. 30 min. Before the end of clinic timings)

Opening Hours

Ordinační hodiny

Po. 10:00 – 12:30

Út. 14:00 – 19:00

St. 14:00 – 19:00

Čt. Close

Pá. 14:00 – 19:00

So. 11:00 – 17:00

** Additional weekend fee will be charged on Saturday.
** Poplatek za víkend bude účtován v sobotu.
*** Card payments are accepted.