Registration Form

Please fill out the Registration Form:

  • before your first visit, or
  • to request an appointment for your first visit—we’ll get back to you with a suggested date!

The form below is intended for adults only. Minors may only schedule an appointment through their legal guardians. If you have any questions, please contact us by phone (+48 573 977 583) or email (kontakt@miedzyfalami.com).

If the form does not display correctly, you can also fill it out at this link.

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