E-Opinions and Suggestions and Complaints

You can use the form below to send your messages to our hospital.
The messages you send will be evaluated by the relevant department.

Sender	--- Please Select --- Patient Patient Relative Employed (*)
Type of Message	--- Please Select --- Feedback Message Suggestion Message Complaint Message (*)
Name Surname	(*)
Email Address	(*)
Cell Phone	(*)
Subject	(*)
Opinion / Suggestion / Complaint	(*)
Security Code	(*)
(*) Required Fields