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Let us help you find healthcare providers specific to your treatment needs and choice of destination(s).

Our Request for Information service, enables you to achieve this quickly and efficiently. Complete the Request for Information form below for the kind of treatment that you are seeking and you will get a response from healthcare providers matching your specific needs.

Your request will be forwarded to various Medical Tourism Italy partner providers matching your specific treatment criteria.


About You

How would you like to be reached?

About Your Healthcare Needs

What treatment and countries would you like information? respects your privacy. This form sends an email to the facility or provider that matches your profile or the information you have provided to us. Do not send sensitive or personally identifiable information via email, as email does not provide a secure means of transmitting information. Do not disclose anything via email that you would normally not wish to send via email, such as credit card information. The health care provider who receives your communication will make every effort to communicate with you.