Online Application Form

Let us organize

Your medical treatment in Swizterland

Are you considering medical treatment in Switzerland? You may have questions such as:

Who are the experts in my condition?
Which is the most suitable hospital?
When can I start the treatment and how long will it take?
How will I communicate with the hospital staff?
How much will my stay in Switzerland cost?

We can answer these questions for you. Whatever your query, we will be delighted to help you. East-Travel is an independent Swiss company which arranges medical treatment for international patients in Swiss hospitals and rehabilitation facilities. We will seek the best possible medical treatment for you.

Organization

of Your medical treatment

Each diagnosis requires uniquely tailored treatment. We will analyze your requirements and seek the best possible medical treatment for you. Our Guest Relations Managers are experienced in bringing together the necessary specialists from different fields and hospitals for the assessment of your particular medical condition.

We provide valuable local support, giving you a competent and trustworthy partner.

Online Application Form

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Patient information
We kindly ask you to fill in our online application form. We require certain minimum details with each registration so that we can identify the best offer from the various clinics and treatment options available.

Family Name*:

First Name*:

Street:

Postal code:

City:

Country

Date of birth [yyyy/mm/dd]:

Gender:
MaleFemale

Nationality:

Mother tongue:

Other languages:

Contact details

Phone number:

Mobile number:

Fax number

E-mail address*

Best time to contact [hh:mm]:

Best way to contact:

Please write name and relationship to the patient if the contact person is not the patient:

Name of parent guardian if patient is under 18 years old:

Desired medical services in Switzerland:

Please give a brief description of your condition and treatment goal:

Terms of use*
I, the patient of their legal representative, authorize Easttravel and its employees to forward relevant personal data and medical information by mail, fax or e-mail to Swiss Healthcare Providers

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Medical Care

Online Application Form