Other procedures at External Consultations

Justificants

Per tal de demanar un justificant relacionat amb la seva programació quirúrgica, agrairíem omplís el següent formulari:

Data of the applicant

Name and surname

Email

DNI

Relationship with the patient

Documento justificativo

Documento que acredita que se puede solicitar ese justificante.

Upload requirements

Patient data

CIP

Email

Birthdate

Pacient's DNI

Patient's name and surname

Telephone

Message

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 Bellvitge - 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 Llobregat

Fields marked with are required.