Make an appointment "*" indicates required fields InstagramThis field is for validation purposes and should be left unchanged.Your contact detailsFirst name*Name*Title*SelectMs.Mr.Date of birth* Day Month Year Phone*E-mail* Enter Email Confirm Email Insurance* April International / Antaé Evasan Other insurance Without insurance Policy number*Insurance name*Reason for appointmentYour appointmentAppointment type* Medical consultations Therapeutic consultations Check-up Medical revitalization therapies You can validate this form. We will contact you shortly to inform you of our availability.You can validate this form. Please contact us by e-mail at info@srmc.ch or by telephone on +41 21 963 88 88.You can validate this form. We will contact you shortly to inform you of our availability.Schedule your appointment*Schedule your appointment*ValidationData protection* I confirm that I have read and accept the privacy policy.General terms and conditions* I confirm that I have read and accept the terms and conditions.
