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Scheduled visits information
To find out the status of a visit, request a rescheduling, reschedule or cancel your visit, please fill in the following form:
Per tal de reprogramar la seva visita preoperatòria o prova, agrairíem omplís el següent formulari:
Patient data
Patient's name
Birthdate
Pacient's CIP
Pacient's DNI
Data of the applicant
Name and surname
DNI
Relationship
- Select -
Mother
Father
Pacient
Legal guardian
Direcció General d'Atenció a la Infància i l'Adolescència (DGAIA)
Residence centre
Others
What do you need?
- Select -
Appointment reminder
Change of date/time of appointment
Appointments pending
Cancellation
Others
Email
Message
Attachments
- If you are the patient yourself, you must attach a photocopy or scan of your DNI.
- If you are not the patient and are acting on their behalf, you must attach the
authorisation form
, together with a photocopy of your DNI and that of the patient you are representing.
Document
Upload
Upload requirements
One file only.
2 GB limit.
Allowed types:
txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, gif, jpg, jpeg, png
.
I declare, under my responsibility, that I am over 16 years of age, and I am solely responsible for the accuracy of the declaration.
I accept the Data Protection Policy
You can find the information about the data protection policy by clicking on the following link ->
Legal notice
Information on the processing of personal data:
Legal basis for processing:
Exercise of public powers, fulfilment of a legal obligation.
Responsible:
Hospital Universitari de Bellvitg
e - Institut Català de la Salut.
Purpose:
To manage the contact of citizens, to resolve issues related to their health by telematic means.
Legitimation:
Express acceptance of the privacy policy.
Rights of interested persons:
Access, rectification, deletion and portability of data, limitation and opposition to its processing, by contacting you by e-mail at
uac@bellvitgehospital.cat
or by post.
- Hospital Universitari de Bellvitge
- Carrer de la Feixa Llarga, s/n
- 08907 L’Hospitalet de Llobregatt
Fields market with
are required.
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