Registration form for the check-up

Dear participant,

 

Please note that you must first make an appointment by telephone before completing the following form. Appointments can only be made by telephone on 0211 838 628 50 or by e-mail to info@epccheckup.com.

 

Next, please fill out the form on our Simpleprax platform.

For the Standard, Executive, and Basic Plus check-ups, please click here:

For the Basic Check-Up (without MRI), please click here:

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