Appointment form

First and last name (required)

Your email (required)

Your phone number (required)

What aeromedical exam to you need? Class 1, 2 or 3? Or Cabin Crew? Or preventive medical check-up?

Do want additionally a preventive medical check-up?

What date do you prefer?

Where is your home base (optional)?

Age (optional)

Further comment (optional)