Coordination request

Your NephroCare Holiday Dialysis Coordination Team:

Chiara Frattini

Tel. +39 0373 974 551
Fax: +39 0373 974 7621
Email: holidaydialysis@nephrocare.com

Monica Ticali

Tel. +39 0373 974 552
Fax. +39 0373 974 7621

We are looking forward to assist you and are open for group requests also!

Coordination Request Form

Please fill out the following fields below (* are mandatory) for a nonbinding coordination request. Our team will get back to you as soon as possible.

CR za

page za

First Name*

Last Name*

Phone/Mobile

E-Mail*

Country*

other country

Holiday Period

First Treatment Date of Holiday*

Last Treatment Date of Holiday*

Destination

Country*

other country

City/Region

Coordination documents

Please submit the following documents:

Holiday Dialysis Request

General Terms and Conditions

Further Requests

Don't fill this field!