Formular de reclamatii si sesizari online Spitalul Orasenesc Regele Carol I Costesti
Campurile marcate cu * sunt obligatorii.
Email address *
Numele si Prenumele *
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Sectia unde ati fost internat *
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Data internarii *
MM
/
DD
/
YYYY
Data externarii *
MM
/
DD
/
YYYY
Sesizarea Dumneavoastra vizeaza: *
Categorii de personal implicate: *
Va rugam sa detaliati sesizarea Dumneavoastra *
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Ati mai sesizat aceasta problema si catre alte institutii ( daca da, catre ce institutie? )
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Numarul de telefon *
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Adresa *
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