Agreement form

  • BOOK AN APPOINTMENT

  • Reset signature Signature locked. Reset to sign again
    By paying this deposit, you not only secure your date, but also your quoted price. This value is deducted from the total of your surgery and IS NOT REFUNDABLE. If the patient presents any health condition before the surgery, which contraindicates its execution (anemia, fever, illness in any sense, etc.), the deposit will be used to reserve a new date where the patient has recovered. This deposit will be forfeited if the date is changed or canceled less than fourteen (14) days in advance. In case of having to reschedule her surgery, the patient has the right to two (2) changes, always at least fourteen (14) days in advance and the new date must be within the range of twelve (12) months from the date the deposit was made.
Select the fields to be shown. Others will be hidden. Drag and drop to rearrange the order.
  • Image
  • SKU
  • Rating
  • Price
  • Stock
  • Availability
  • Add to cart
  • Description
  • Content
  • Weight
  • Dimensions
  • Additional information
  • Attributes
  • Custom attributes
  • Custom fields
Click outside to hide the comparison bar
Compare