Patient Information
Please provide information as it appears on your passport
Birth date *
Birth date
Gender *
Address *
Home phone
Home phone
Work phone
Work phone
Have you previously been a patient of SurgeOn SA? *
Do you (or your family) need a visa to come to Switzerland? *
Do you need an interpreter? *
Medical information
Is it an emergency case? *
Would you like to :
Best time to contact you?
Based on your time zone.

Each case is different. We will take time to discuss with you any details regarding your treatment, your visit, your payment method and any additional concerns.

Our customer service department is at your disposal and will respond within 2 business days.

For any information, please contact:

Customer service
Tel. + 41 22 347 65 05